Organization
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Active
Other names
Community Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E. GETTELMAN PHD (ASSISTANT VICE PRESIDENT)
(704) 444-2406
Entity
Organization
Contact information
Practice address
BEHAVIORAL HEALTH CENTER CMC RANDOLPH, 501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 444-2539
(704) 444-2539
Mailing address
BEHAVIORAL HEALTH CENTER CMC RANDOLPH, 501 BILLINGSLEY ROAD, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
H0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300443B
—
NC
Enumeration date
10/16/2007
Last updated
10/16/2007
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