Organization
GASTON SKILLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FOGLE (EXECUTIVE DIRECTOR)
(704) 869-0300
Entity
Organization
Contact information
Practice address
1636 SALEM CHURCH RD, LINCOLNTON, NC 28092-8909
(704) 732-1516
(704) 732-0982
Mailing address
1301 BESSEMER CITY RD, GASTONIA, NC 28052-1106
(704) 869-0300
(704) 869-9594
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-055-012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408830
—
NC
Enumeration date
01/23/2008
Last updated
01/23/2008
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