Organization
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Active
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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