| Gaston Adolescent Center, Inc. | |
|
635 Cox Rd Ste B Gastonia NC 28054 | |
| (704) 691-7561 | |
| (704) 691-7563 |
| Full Name | Gaston Adolescent Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 635 Cox Rd Ste B, Gastonia, North Carolina |
| Authorized Official Name and Position | Edward Lawrence Haley (PRESIDENT/CEO) |
| Authorized Official Contact | 7045858017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Adolescent Center, Inc. 635 Cox Rd Ste B Gastonia NC 28054-3441 Ph: (704) 691-7561 | Gaston Adolescent Center, Inc. 635 Cox Rd Ste B Gastonia NC 28054 Ph: (704) 691-7561 |
| NPI Number | 1316236458 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 08/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316236458 | NPI | - | NPPES |
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