PROVIDENCE BEHAVIORAL HEALTH PA

CHARLOTTE, NC
NPI1578835674
Entity TypeOrganization
Authorized ContactPREETINDER BRAR
President
704-543-7574
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-02-03
Last Update Date2012-02-03
Business Address
PROVIDENCE BEHAVIORAL HEALTH PA
8029 CORPORATE CENTER DR SUITE 200
CHARLOTTE, NC 28226-4547
Phone number: 704-543-7574
Mailing Address
PROVIDENCE BEHAVIORAL HEALTH PA
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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