Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Other names
BHC CMC Randolph - CABHA
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
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2724
(704) 358-2796
Mailing address
501 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2724
(704) 358-2796
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
—
3400113S
—
NC
Enumeration date
06/02/2010
Last updated
06/02/2010
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