OrganizationActive
Altavera Behavioral Health PC
NPI 1174465702 · Addiction Psychiatry Physician · Concord, NC
Provider details
- NPI number
- 1174465702
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jonathan Stoudmire, Medical Director
Practice location
432 Copperfield Blvd Ne Ste 200
Concord, NC 28025-2427
Phone: (704) 906-9573
Mailing address
432 Copperfield Blvd Ne Ste 200
Concord, NC 28025-2427
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.