Affiliated Sante Group
Organization Active NPI Community/Behavioral Health Agency · Charlotte, NC
NPI 1558057455 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1558057455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AFFILIATED SANTE GROUP
- Practice address
- 810 Tyvola Rd Ste 126
Charlotte, NC 28217-3536 - Phone
- (704) 566-3410
- NPI assigned
- Apr 13, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- AFFILIATED SANTE GROUP
Authorized official
- Name
- Ms. Robyn Codrington
- Title
- Ceo
- Phone
- (341) 070-4566
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Asg
- Part of
- Asg
Locations
810 Tyvola Rd
Ste 126
Charlotte, NC 28217
Phone (704) 566-3410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
810 Tyvola Rd Ste 126
Charlotte, NC 28217-3536
Mailing address
810 Tyvola Rd Ste 126
Charlotte, NC 28217-3536
Phone (704) 566-3410
Other names
- Crisys
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.