Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL CANCEL (DIRECTOR OF OPERATIONS)
(773) 698-4688
Entity
Organization
Contact information
Practice address
3015 W HARRISON ST UNIT 1, CHICAGO, IL 60612-3342
(704) 864-1477
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/28/2025
Last updated
12/11/2025
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