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Organization
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Active
Organization
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD JOSEPH LESSANE (VP FINANCE)
(704) 701-2123
Entity
Organization
Contact information
Practice address
201 W MAIN ST, SUITE B16, DURHAM, NC 27701-3228
(704) 701-2123
(704) 793-1882
Mailing address
PO BOX 822, CONCORD, NC 28026-0822
(704) 701-2123
(704) 795-1882
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-060-822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301758B
—
NC
05
—
8301758G
—
NC
Enumeration date
01/31/2007
Last updated
09/12/2007
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