Organization
RESILIENCE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA YVONNE SMITH (OWNER)
(910) 551-1245
Entity
Organization
Contact information
Practice address
2109 DOVE TREE LN, GASTONIA, NC 28054-6580
(980) 351-1825
Mailing address
3608 CHAPEL GROVE SCHOOL RD, GASTONIA, NC 28052-8192
(910) 551-1245
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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