Organization
HOUSE OF HAGAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVEY TAYLOR (DIRECTOR)
(704) 675-1012
Entity
Organization
Contact information
Practice address
3269 FOREST CREEK CT, GASTONIA, NC 28052-6092
(704) 675-1012
Mailing address
PO BOX 972, LOWELL, NC 28098-0972
(704) 675-1012
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
12/05/2025
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