INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES NPI 1588055685

NPI Information

INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES is a psychiatric/mental health nurse practitioner in Charlotte, NC. INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES NPI is 1588055685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6201 FAIRVIEW RD
SUITE 200
CHARLOTTE, NC
ZIP 28210-289
Phone: (704) 322-4699
Fax: (704) 992-9546

The provider's authorized official is Tawanda Bostic .
The authorized official title is Owner and has the following contact phone number (704) 322-4699.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 3/30/2015.

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:

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