Organization · Type 2 NPI

Providence Behavioral Health PA

Non-Pharmacy Dispensing Site · Charlotte, NC

NPI number 1578835674 Active

Practice location

8029 Corporate Center Dr, Suite 200
Charlotte, NC 28226-4547

Call (704) 543-7574 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5 other providers at this address

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About NPI 1578835674

Providence Behavioral Health PA's National Provider Identifier is 1578835674, issued on Feb 3, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 3, 2012.