| Beaty Recovery Services Llc | |
|
436 E Long Ave Suite 2 Gastonia NC 28054-2516 | |
| (704) 864-3900 | |
| (704) 864-3988 |
| Full Name | Beaty Recovery Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 436 E Long Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Linda Beaty Cloninger (DIRECTOR OWNER) |
| Authorized Official Contact | 7048643900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaty Recovery Services Llc 436 E Long Ave Suite 2 Gastonia NC 28054-2516 Ph: (704) 864-3900 | Beaty Recovery Services Llc 436 E Long Ave Suite 2 Gastonia NC 28054-2516 Ph: (704) 864-3900 |
| NPI Number | 1124570908 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124570908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6008703 (North Carolina) | Primary |
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