# ABOVE AND BEYOND ENTERPRISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205996899
- **Authorized official:** MR. LONNIE JAMES TUCKER JR. (CEO)
- **Authorized official phone:** (704) 734-1040

## Contact information

- **Practice address:** 104 S CARPENTER ST, KINGS MOUNTAIN, NC 28086-3415
- **Practice address phone:** (704) 734-1040
- **Practice address fax:** (704) 734-1095
- **Mailing address:** PO BOX 682, KINGS MOUNTAIN, NC 28086-0682
- **Mailing address phone:** (704) 734-1040
- **Mailing address fax:** (704) 734-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-023-108 | NC | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603537 | — | NC |