Behavioral Health Center Cmc Randolph, NPI 1508055336
Adolescent and Children Mental Health Clinic/Center in Charlotte, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508055336
NPI Entity Type Organization
Provider Name Behavioral Health Center Cmc Randolph
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC, US
Provider Mailing Address 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC, US, 282111009
Is Sole Proprietor? No
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Organization Official

Official Name PHD Thomas E. Gettelman
Official Position ASSISTANT VICE PRESIDENT
Phone 704-444-2406

Primary Taxonomy

Taxonomy Code

261QM0855X

Taxonomy Name Adolescent and Children Mental Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. H0071
License State NC
Description An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Other Organization Name

C&A Community Support Services
Other Name

Business Address

Behavioral Health Center Cmc Randolph
330 Billingsley Road
Behavioral Health Center Cmc Randolph

Charlotte, NC, US

Phone: 704-358-2710
Fax: 704-358-2938

Mailing Address

Behavioral Health Center Cmc Randolph
501 Billingsley Road
Behavioral Health Center Cmc Randolph
Charlotte, NC, US
ZIP 282111009
Phone: 704-358-2710
Fax: 704-358-2938

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