| Community Advancement Agency Llc | |
|
2020 Remount Rd Ste W-107 Gastonia NC 28054-7476 | |
| (704) 594-4633 | |
| Not Available |
| Full Name | Community Advancement Agency Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 Remount Rd Ste W-107, Gastonia, North Carolina |
| Authorized Official Name and Position | Julian Tingle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045944717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Advancement Agency Llc 2020 Remount Rd Ste W-107 Gastonia NC 28054-7476 Ph: (704) 594-4717 | Community Advancement Agency Llc 2020 Remount Rd Ste W-107 Gastonia NC 28054-7476 Ph: (704) 594-4633 |
| NPI Number | 1992241335 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992241335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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