Organization
GOLDEN GATE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L GARDNER (DIRECTOR)
(919) 580-5992
Entity
Organization
Contact information
Practice address
519 W PINE ST, GOLDSBORO, NC 27530-4733
(919) 580-5992
(919) 580-5993
Mailing address
223 W WALNUT ST, SUITE 1, GOLDSBORO, NC 27530-3684
(919) 580-5992
(919) 580-5993
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-096-182
NC
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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