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Organization

GASTON SKILLS, INC

Active
Parent organization
GASTON SKILLS, INC
Other names
Community Support Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
GASTON SKILLS, INC
Authorized official
MR. DAVID FOGLE (EXECUTIVE DIRECTOR)
(704) 869-0300
Entity
Organization

Contact information

Practice address
1301 BESSEMER CITY RD, GASTONIA, NC 28052-1106
(704) 869-0300
(704) 869-9594
Mailing address
1301 BESSEMER CITY RD, GASTONIA, NC 28052-1106
(704) 869-0300
(704) 869-9594

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300690B
NC
05
8300691B
NC
Enumeration date
06/18/2007
Last updated
08/22/2007
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