| Community Support Services | |
|
Behavioral Health Center Cmc Randolph 501 Billingsley Road Charlotte NC 28211-1009 | |
| (704) 444-2539 | |
| (704) 444-2539 |
| Full Name | Community Support Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Behavioral Health Center Cmc Randolph, 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 |
|---|---|
| Community Support Services Behavioral Health Center Cmc Randolph 501 Billingsley Road Charlotte NC 28211-1009 Ph: (704) 358-2710 | Community Support Services Behavioral Health Center Cmc Randolph 501 Billingsley Road Charlotte NC 28211-1009 Ph: (704) 444-2539 |
| NPI Number | 1104015023 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104015023 | NPI | - | NPPES |
| 8300443B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | H0071 (North Carolina) | Primary |
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