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Contact Information

AFFILIATED SANTE GROUP DBA CRISYS
810 TYVOLA RD. STE. 126
CHARLOTEE, NC28217-3536
 Phone: 704-566-3410
 Fax: 301-572-5062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AFFILIATED SANTE GROUP DBA CRISYS

NPI Number 1700929940
LBN Legal business name AFFILIATED SANTE GROUP DBA CRISYS
Authorized official MICHELLE GRIGSBY-HACKETT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 01/11/2023 - About 3 years ago
Identifiers
NC Medicaid 8301491
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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