Organization
BEHAVIORAL HEALTH CENTER-MERCY HORIZONS OP SERVICES
Active
Other names
SA Comprehensive OP Treatment Program
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
1816 LYNDHURST AVENUE, BEHAVIORAL HEATLH CENTER MERCY HORIZONS OUTPATIENT SVCS, 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
—
8300444P
—
NC
Enumeration date
11/09/2007
Last updated
11/09/2007
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