Organization
ELITE COMMUNITY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA STEELE (OWNER/EXECUTIVE DIRECTOR)
(704) 864-9668
Entity
Organization
Contact information
Practice address
252 WILMOT DR, GASTONIA, NC 28054-4047
(704) 674-4129
Mailing address
2212 UNION RD, SUITE 700, PMB 507, GASTONIA, NC 28054-3700
(704) 864-9668
(704) 864-1788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-036-279
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300629Q
—
NC
Enumeration date
02/12/2010
Last updated
09/28/2010
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