Community Support Services
LBN: Behavioral Health Center Cmc Randolph
Community Support Services is an health care organization with primary practice located at 1216 N Tryon Street Behavioral Health Center Cmc Randolph, Charlotte NC 28211-1009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Behavioral Health Center Cmc Randolph can be contacted via phone (704) 336-6570, or through Gettelman, Thomas E. via phone (704) 444-2406.
Contact Information
Primary practice address
1216 N Tryon Street Behavioral Health Center Cmc Randolph
Charlotte NC 28211-1009
Phone: (704) 336-6570
Fax: (704) 336-3623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | H0071 | North Carolina |
Profile Details
| NPI number | 1306043658 |
|---|---|
| LBN Legal business name | Behavioral Health Center Cmc Randolph |
| DBA Doing business as | Community Support Services |
| Authorized official | Gettelman, Thomas E. PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306043658 | NPPES |
| North Carolina | MEDICAID | 8300446B |
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