Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SUTTON (CEO)
(704) 864-1477
Entity
Organization
Contact information
Practice address
108 GARDEN TER, DALLAS, NC 28034-9778
(704) 864-1477
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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