Organization
COMMUNITY LIVING AND CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN LAVAR CURRY (PRESIDENT)
(704) 852-4428
Entity
Organization
Contact information
Practice address
712 LANDING ST # A, KINGS MOUNTAIN, NC 28086-3246
(704) 734-5272
Mailing address
712 LANDING ST # A, KINGS MOUNTAIN, NC 28086-3246
(704) 734-5272
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603926
—
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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