Provider Demographics
NPI:1831463199
Name:CAROLINA ASSERTIVE TREATMENT LLC
Entity Type:Organization
Organization Name:CAROLINA ASSERTIVE TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:COLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCAGLIARINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-942-0999
Mailing Address - Street 1:1801 N TRYON ST STE 305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 N TRYON ST STE 305
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2704
Practice Address - Country:US
Practice Address - Phone:704-942-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health