| Center For Emotional Health | |
|
640 Summit Cross Place Suite 203 Gastonia NC 28054 | |
| (704) 237-4240 | |
| Not Available |
| Full Name | Center For Emotional Health |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 640 Summit Cross Place, Gastonia, North Carolina |
| Authorized Official Name and Position | Jonathan K Stoudmire (PRESIDENT/OWNER) |
| Authorized Official Contact | 7042374240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Emotional Health 280 Executive Park Dr Ste 100 Concord NC 28025-1838 Ph: (704) 237-4240 | Center For Emotional Health 640 Summit Cross Place Suite 203 Gastonia NC 28054 Ph: (704) 237-4240 |
| NPI Number | 1174922348 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174922348 | NPI | - | NPPES |
| 5900927 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 200500827 (North Carolina) | Primary |
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