BEHAVIORAL HEALTH CENTER CMC RANDOLPH NPI 1144419979

NPI Information

BEHAVIORAL HEALTH CENTER CMC RANDOLPH is an adolescent and children mental health clinic center in Charlotte, NC. The provider is 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. BEHAVIORAL HEALTH CENTER CMC RANDOLPH NPI is 1144419979. The provider is registered as an organization entity type.
The provider Other Name Is C&a Partial Hospitalization.

The provider's business location address is:

330 BILLINGSLEY ROAD
BEHAVIORAL HEALTH CENTER CMC RANDOLPH
CHARLOTTE, NC
ZIP 28211-055
Phone: (704) 444-2444
Fax: (704) 444-2464

The provider's authorized official is Thomas E. Gettelman .
The authorized official title is Assistant Vice President and has the following contact phone number (704) 444-2406.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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