Organization
PIEDMONT ADOLESCENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE TAYLOR (EXECUTIVE DIRECTOR)
(704) 923-2746
Entity
Organization
Contact information
Practice address
2424 SUNSET AVE, APT 2, GASTONIA, NC 28052-1182
(704) 842-6994
Mailing address
PO BOX 12803, GASTONIA, NC 28052-0015
(704) 842-6994
(704) 842-6994
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-036 199
NC
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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