Organization
BEHAVIORAL HEALTH CENTER MERCY HORIZONS OUTPATIENT SVCS
Active
Other names
Mercy Horizons Substance Abuse IOP
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E. GETTELMAN PHD (ASSISTANT VICE PRESIDENT)
(704) 446-2406
Entity
Organization
Contact information
Practice address
1816 LYNDHURST AVENUE, BEHAVIORAL HEALTH CENTER MERCY HORIZONS OUTPATIENT SERV, CHARLOTTE, NC 28203-5104
(704) 446-0392
(704) 348-4057
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-060-577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300444Q
—
NC
Enumeration date
11/09/2007
Last updated
11/09/2007
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