# BEHAVIORAL HEALTH CENTER CMC RANDOLPH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C&A Substance Abuse IOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649450487
- **Authorized official:** THOMAS E. GETTELMAN PHD (ASSISTANT VICE PRESIDENT)
- **Authorized official phone:** (704) 444-2406

## Contact information

- **Practice address:** 330 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
- **Practice address phone:** (704) 444-2484
- **Practice address fax:** (704) 444-2464
- **Mailing address:** 501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
- **Mailing address phone:** (704) 358-2710
- **Mailing address fax:** (704) 358-2938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | H0071 | NC | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007