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Organization
NEW HOPE YOUTH & FAMILY SERVICES OF GASTONIA
Active
Organization
NEW HOPE YOUTH & FAMILY SERVICES OF GASTONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA DEVONNE SHANKLE (PRESIDENT)
(704) 361-5395
Entity
Organization
Contact information
Practice address
615 S NEW HOPE RD, SUITE 101, GASTONIA, NC 28054-4808
(704) 361-5395
(980) 207-5647
Mailing address
5736 N TRYON ST, SUITE 128, CHARLOTTE, NC 28213-6850
(704) 361-5395
(980) 207-5647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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