Organization
CAROLINAS MEDICAL CENTER
Active
Organization
CAROLINAS MEDICAL CENTER
Active
Other names
BHC CMCR Assertive Treatment Team
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) 444-2520
(704) 444-2532
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
H0071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300443A
—
NC
Enumeration date
10/17/2007
Last updated
10/17/2007
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