Organization · Type 2 NPI

Mary A Martin NP BC

Adult Mental Health Clinic/Center · Charlotte, NC

NPI number 1609313311 Active

Practice location

10430 Haddington Dr NW
Charlotte, NC 28269-6955

Call (704) 200-1122 Map

Fax (704) 464-1781

Mailing address

6809 Fairview Rd
Charlotte, NC 28210-4195

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X5002313 (NC)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1609313311

Mary A Martin NP BC's National Provider Identifier is 1609313311, issued on Jan 20, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Charlotte, NC. The record was last updated on Jan 20, 2017.