| Gha Autism Supports | |
|
213 N 2nd St Albemarle NC 28001-3939 | |
| (704) 982-9600 | |
| (704) 982-8155 |
| Full Name | Gha Autism Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 213 N 2nd St, Albemarle, North Carolina |
| Authorized Official Name and Position | Dawn Harwood Allen (CEO) |
| Authorized Official Contact | 7049829600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gha Autism Supports Po Box 2487 Albemarle NC 28002-2487 Ph: (704) 982-9600 | Gha Autism Supports 213 N 2nd St Albemarle NC 28001-3939 Ph: (704) 982-9600 |
| NPI Number | 1982042933 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982042933 | NPI | - | NPPES |
| 340614X | Medicaid | NC | |
| 3406500 | Medicaid | NC | |
| 340614T | Medicaid | NC | |
| 340615A | Medicaid | NC | |
| 3408844 | Medicaid | NC | |
| 3406165 | Medicaid | NC | |
| 3406392 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | (* (Not Available)) | Secondary |
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