Organization
FLYNN FELLOWSHIP HOME OF GASTONIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M. MARTIN (EXECUTIVE DIRECTOR)
(704) 865-9395
Entity
Organization
Contact information
Practice address
311 S MARIETTA ST, GASTONIA, NC 28052-4365
(704) 865-9395
(704) 862-0399
Mailing address
311 S MARIETTA ST, GASTONIA, NC 28052-4365
(704) 865-9395
(704) 862-0399
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-036-007
NC
Other
Enumeration date
12/01/2006
Last updated
03/29/2018
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