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MCLEOD ADDICTIVE DISEASE CENTER INC NPI 1437167673


NPI Information

NPI: 1437167673
Provider Name: MCLEOD ADDICTIVE DISEASE CENTER INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
515 CLANTON RD
CHARLOTTE, NC
ZIP 28217
Phone: (704) 332-9001
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MCLEOD ADDICTIVE DISEASE CENTER INC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MCLEOD ADDICTIVE DISEASE CENTER INC NPI is 1437167673. The provider is registered as an organization entity type.

The provider's business location address is:

515 CLANTON RD
CHARLOTTE, NC
ZIP 28217-309
Phone: (704) 332-9001
Fax: (704) 332-5903

The provider's authorized official is Mary Ward .
The authorized official title is President and has the following contact phone number (704) 332-9001.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 10/10/2017.


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
1251S00000XCommunity/Behavioral Health1208NORTH CAROLINANo
2251S00000XCommunity/Behavioral Health1209NORTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)MHL-059-024NORTH CAROLINANo
4101YA0400XCounselorAddiction (Substance Use Disorder)MHL-049-101NORTH CAROLINANo
5101YA0400XCounselorAddiction (Substance Use Disorder)MHL-060-010NORTH CAROLINANo
6101YA0400XCounselorAddiction (Substance Use Disorder)MHL-060-880NORTH CAROLINANo
7101YA0400XCounselorAddiction (Substance Use Disorder)MHL-036-100NORTH CAROLINANo
8101YA0400XCounselorAddiction (Substance Use Disorder)MHL-018-057NORTH CAROLINANo
9101YA0400XCounselorAddiction (Substance Use Disorder)MHL-095-036NORTH CAROLINANo
10251S00000XCommunity/Behavioral HealthMHL-060-1206NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18301102MEDICAIDNORTH CAROLINA
28301345MEDICAIDNORTH CAROLINA
38301309MEDICAIDNORTH CAROLINA
48300412MEDICAIDNORTH CAROLINA
58300516MEDICAIDNORTH CAROLINA
68300666MEDICAIDNORTH CAROLINA

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: 11/14/2023

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