Organization
PURPOSEFUL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY DAVIS (DIRECTOR)
(413) 297-1660
Entity
Organization
Contact information
Practice address
206 W SULLIVAN ST, GASTONIA, NC 28052-7371
(704) 380-7505
Mailing address
206 W SULLIVAN ST, GASTONIA, NC 28052-7371
(704) 380-7505
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
342000000X
Transportation Network Company
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/10/2024
Last updated
04/08/2026
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