Organization
ASTEP ABOVE THE REST MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARLENE LIMKO BANKS QMHP (CEO/PROGRAM DIRECTOR)
(828) 851-9588
Entity
Organization
Contact information
Practice address
1562 UNION RD, SUITE B, GASTONIA, NC 28054-2210
(828) 851-9588
Mailing address
PO BOX 313, DALLAS, NC 28034-0313
(828) 851-9588
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
302530
NC
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
302530
NC
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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