Organization
TAR HEEL HABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE PAUL GASTON J.D. (EXECUTIVE DIRECTOR)
(704) 680-3377
Entity
Organization
Contact information
Practice address
1207 BARBOUR STREET, SALISBURY, NC 28144-8296
(704) 680-3377
Mailing address
PO BOX 581, EAST SPENCER, NC 28039-0581
(704) 680-3377
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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