Organization
ABOVE AND BEYOND ENTERPRIESES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE JAMES TUCKER JR. (OWNER.)
(704) 734-1040
Entity
Organization
Contact information
Practice address
1805 ALPINE DR, KINGS MOUNTAIN, NC 28086-4101
(704) 734-1040
(704) 734-1095
Mailing address
PO BOX 682, KINGS MOUNTAIN, NC 28086-0682
(704) 734-1406
(704) 734-1095
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-023-094
NC
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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