Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT INC
Active
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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