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Organization
FAMILY BEHAVIORAL HEALTH SERVICES, INC
Active
Organization
FAMILY BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SHIVADECKER (CEO)
(704) 995-4724
Entity
Organization
Contact information
Practice address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 995-4724
(704) 864-1476
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 995-4724
(704) 864-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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