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BEHAVIORAL HEALTH INTERVENTION CENTER LLC NPI 1033612825


NPI Information

NPI: 1033612825
Provider Name: BEHAVIORAL HEALTH INTERVENTION CENTER, LLC

Former Legal Business Name: BEHAVIORAL HEALTH INTERVENTION CENTER, LLC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
8401 MEDICAL PLAZA DR STE 120
CHARLOTTE, NC
ZIP 28262
Phone: (704) 458-9292
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BEHAVIORAL HEALTH INTERVENTION CENTER, LLC is a substance abuse rehabilitation facility in Charlotte, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BEHAVIORAL HEALTH INTERVENTION CENTER, LLC NPI is 1033612825. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Behavioral Health Intervention Center, Llc.

The provider's business location address is:

8401 MEDICAL PLAZA DR STE 120
CHARLOTTE, NC
ZIP 28262-769
Phone: (704) 458-9292
Fax: (704) 908-1448

The provider's authorized official is Christopher Matthews .
The authorized official title is Owner and has the following contact phone number (704) 712-1696.

The enumeration date for this NPI number is 3/17/2018 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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