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Organization
COMMUNITY BASED ALTERNATIVES FOR YOUTH
Active
Organization
COMMUNITY BASED ALTERNATIVES FOR YOUTH
Active
Other names
CBAY Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCNEAL (DIRECTOR OF OPERATIONS)
(704) 865-3525
Entity
Organization
Contact information
Practice address
815 LIMERICK DRIVE, DALLAS, NC 28034-9420
(704) 865-3525
(704) 865-3520
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0020
(704) 865-3525
(704) 865-3520
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-036-220
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-036-220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603777
—
NC
Enumeration date
11/01/2006
Last updated
12/18/2008
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