| Bhc Community Intervention Services (access) | |
|
1216 North Tryon Street Behavioral Health Center Cmc Randolph Charlotte NC 28206-3256 | |
| (704) 336-6570 | |
| (704) 336-3623 |
| Full Name | Bhc Community Intervention Services (access) |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1216 North Tryon Street, Charlotte, North Carolina |
| Authorized Official Name and Position | Thomas E. Gettelman (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 7044442406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc Community Intervention Services (access) 501 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 Ph: (704) 358-2710 | Bhc Community Intervention Services (access) 1216 North Tryon Street Behavioral Health Center Cmc Randolph Charlotte NC 28206-3256 Ph: (704) 336-6570 |
| NPI Number | 1750546347 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750546347 | NPI | - | NPPES |
| 8300446 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | H0071 (North Carolina) | Primary |
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