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Organization
TOWERGATE YOUTH AND FAMILY SERVICES
Active
Organization
TOWERGATE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD LESSANE (VP FINANCE)
(704) 701-2123
Entity
Organization
Contact information
Practice address
8401 UNIVERSITY EXEC PARK DR, SUITE 112, CHARLOTTE, NC 28262-3386
(704) 701-2123
(704) 793-1882
Mailing address
PO BOX 822, CONCORD, NC 28026-0822
(704) 701-2123
(704) 793-1882
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-060-822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301960B
—
NC
Enumeration date
04/10/2007
Last updated
12/17/2007
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