Organization
612 BEHAVIORAL AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMISE LAMAAR WILLIAMS (CEO)
(704) 674-5455
Entity
Organization
Contact information
Practice address
2559 QUAIL RIDGE DR, GASTONIA, NC 28056-9205
(704) 674-5455
Mailing address
2559 QUAIL RIDGE DR, GASTONIA, NC 28056-9205
(704) 674-5455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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