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Organization
PECULIAR GENERATION COMMUNITY ENRICHMENT, INC.
Active
Organization
PECULIAR GENERATION COMMUNITY ENRICHMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAMEQUA CHERIE PORTER (DIRECTOR)
(704) 648-8972
Entity
Organization
Contact information
Practice address
212 S SOUTH ST, GASTONIA, NC 28052-4127
(704) 648-8972
(888) 340-4417
Mailing address
PO BOX 2468, GASTONIA, NC 28053-2468
(704) 648-8972
(888) 340-4417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/06/2010
Last updated
04/12/2011
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