Provider Demographics
NPI:1780836890
Name:UNITED TREATMENT FACILITY INC
Entity type:Organization
Organization Name:UNITED TREATMENT FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:BS QMHP
Authorized Official - Phone:704-466-0046
Mailing Address - Street 1:PO BOX 9329
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28299-9329
Mailing Address - Country:US
Mailing Address - Phone:704-569-9192
Mailing Address - Fax:704-569-2506
Practice Address - Street 1:5004 COMMUNITY CIRCLE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-1550
Practice Address - Country:US
Practice Address - Phone:704-569-9192
Practice Address - Fax:704-569-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health