Provider Demographics
NPI:1699946889
Name:CATAWBA COUNTY OFFICE OF ACCOUNTANT
Entity type:Organization
Organization Name:CATAWBA COUNTY OFFICE OF ACCOUNTANT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPELLETTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-695-6500
Mailing Address - Street 1:1985 TATE BLVD SE STE 300
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1433
Mailing Address - Country:US
Mailing Address - Phone:828-695-6500
Mailing Address - Fax:828-695-4729
Practice Address - Street 1:300 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:CATAWBA
Practice Address - State:NC
Practice Address - Zip Code:28609-8880
Practice Address - Country:US
Practice Address - Phone:828-241-2734
Practice Address - Fax:828-695-4729
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATAWBA COUNTY SOCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-018-084251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health