| C&a Substance Abuse Iop | |
|
330 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 | |
| (704) 444-2484 | |
| (704) 444-2464 |
| Full Name | C&a Substance Abuse Iop |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 330 Billingsley Road, 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 |
|---|---|
| C&a Substance Abuse Iop 501 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 Ph: (704) 358-2710 | C&a Substance Abuse Iop 330 Billingsley Road Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 Ph: (704) 444-2484 |
| NPI Number | 1649450487 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649450487 | NPI | - | NPPES |
| 8300445Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | H0071 (North Carolina) | Primary |
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