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Contact Information

CAROLINA OPTIMAL THERAPEUTIC SERVICES
1444 SOUTHEN SUGAR DR
CHARLOTTE, NC28262
 Phone: 980-216-6586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CAROLINA OPTIMAL THERAPEUTIC SERVICES

NPI # 1548501158
LBN Legal business name CAROLINA OPTIMAL THERAPEUTIC SERVICES
Authorized official ALONDA HARRIS - (EXECUTIVE DIRECTOR/CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2013
Last updated 05/23/2013 - About 13 years ago
Identifiers
NC License # C008125
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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