OrganizationActive
Autism Services of Mecklenburg County, Inc.
NPI 1477683308 · Mental Illness Intermediate Care Facility · Charlotte, NC
Provider details
- NPI number
- 1477683308
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marcy Alford, Business Manager(704) 392-9220
- License
- MHL-060-908 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
2211-A Executive Street
Charlotte, NC 28208-3655
Phone: (704) 392-9220
Fax: (704) 392-9221
Approximate (ZIP-level) locationGet directions
Mailing address
2211-A Executive Street
Charlotte, NC 28208-3655
Additional practice locations (8)
- 4016 Piney Grove RdCharlotte, NC 28212-9012Phone: (704) 399-3538
- 4400 Dalmoor DrCharlotte, NC 28212-2157Phone: (704) 567-1531
- 1123 Ravendale DrCharlotte, NC 28216-1526Phone: (704) 399-3538
- 5917 Rowan WayCharlotte, NC 28214-2403Phone: (704) 391-5559
- 4319 Mantle CtCharlotte, NC 28205-7243Phone: (704) 567-8082
- 5215 Pinebrook DrCharlotte, NC 28208-2437Phone: (704) 399-8969
- 5026 Lansing DrCharlotte, NC 28270-6076Phone: (704) 365-4366
- 5300 Kelly StCharlotte, NC 28205-7912Phone: (704) 531-1875
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.