| The Restorative Justice Center | |
|
410 W Franklin Blvd Suite 20 Gastonia NC 28052-2807 | |
| (704) 671-1030 | |
| (704) 869-7336 |
| Full Name | The Restorative Justice Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 410 W Franklin Blvd, Gastonia, North Carolina |
| Authorized Official Name and Position | Lawrence Douglas Lance (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7046711030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Restorative Justice Center 410 W Franklin Blvd Suite 20 Gastonia NC 28052-2807 Ph: (704) 671-1030 | The Restorative Justice Center 410 W Franklin Blvd Suite 20 Gastonia NC 28052-2807 Ph: (704) 671-1030 |
| NPI Number | 1942559075 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942559075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL# 036 106 (North Carolina) | Primary |
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