Organization
NEW START OF THE PIEDMONT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETT MOORE (OWNER)
(704) 648-8588
Entity
Organization
Contact information
Practice address
422 S OAKLAND ST, GASTONIA, NC 28052-4313
(704) 648-8588
Mailing address
611 WALLS ST, GASTONIA, NC 28054-5594
(704) 648-8588
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
05/29/2024
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