Gaston Residential Services, Inc. | |
905a N New Hope Rd Gastonia NC 28054-3354 | |
(704) 861-9280 | |
(704) 868-2154 |
Full Name | Gaston Residential Services, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 905a N New Hope Rd, Gastonia, North Carolina |
Authorized Official Name and Position | Rita B. Thuot (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7048619280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gaston Residential Services, Inc. 905a N New Hope Rd Gastonia NC 28054-3354 Ph: (704) 861-9280 | Gaston Residential Services, Inc. 905a N New Hope Rd Gastonia NC 28054-3354 Ph: (704) 861-9280 |
NPI Number | 1063578532 |
---|---|
Provider Enumeration Date | 12/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063578532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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