Organization
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Active
Organization
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Active
Parent organization
TOWERGATE YOUTH AN D FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWERGATE YOUTH AN D FAMILY SERVICES
Authorized official
MR. BRAD LESSANE (VP FINANCE)
(704) 701-2123
Entity
Organization
Contact information
Practice address
1219 ROCKINGHAM RD, ROCKINGHAM, NC 28379-4983
(704) 701-2123
Mailing address
PO BOX 822, CONCORD, NC 28026-0822
(704) 701-2123
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603858
—
NC
05
—
8301045
—
NC
05
—
8301758
—
NC
05
—
8301759
—
NC
Enumeration date
03/14/2007
Last updated
08/31/2007
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