OrganizationActive
Providence Behavioral Health PA
NPI 1578835674 · Non-Pharmacy Dispensing Site · Charlotte, NC
Provider details
- NPI number
- 1578835674
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Providence Behavioral Health PA
- Organization subpart
- Yes
- Authorized official
- Preetinder Brar, President(704) 543-7574
Specialties & taxonomies
Suppliers
Practice location
8029 Corporate Center Dr
Suite 200
Charlotte, NC 28226-4547
Phone: (704) 543-7574
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2012-02-03
- Last updated
- 2012-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.