Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Behavioral Health Center CMC Randolph
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J THOMAS (VICE PRESIDENT)
(704) 358-2714
Entity
Organization
Contact information
Practice address
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2945
Mailing address
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
H0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890104E
—
NC
Enumeration date
07/08/2008
Last updated
07/08/2008
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