| Diagnostic Assessment Services-access | |
|
1216 N Tryon St Behavioral Health Center Cmc Randolph Charlotte NC 28206-3256 | |
| (704) 336-6570 | |
| (704) 336-3623 |
| Full Name | Diagnostic Assessment Services-access |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1216 N Tryon St, 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 |
|---|---|
| Diagnostic Assessment Services-access 501 Billingsley Rd Behavioral Health Center Cmc Randolph Charlotte NC 28211-1009 Ph: (704) 358-2710 | Diagnostic Assessment Services-access 1216 N Tryon St Behavioral Health Center Cmc Randolph Charlotte NC 28206-3256 Ph: (704) 336-6570 |
| NPI Number | 1497952709 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497952709 | NPI | - | NPPES |
| 8300446G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | H0071 (North Carolina) | Primary |
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