Organization
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Active
Other names
C&A Day Treatment
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
330 BILLINGSLEY ROAD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-5055
(704) 444-2444
(704) 444-2464
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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
H0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300445R
—
NC
Enumeration date
11/09/2007
Last updated
11/09/2007
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