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
318 S SOUTH ST, GASTONIA, NC 28052-4379
(704) 852-4428
Mailing address
318 S SOUTH ST, GASTONIA, NC 28052-4379
(704) 852-4428
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
BELVEDERE MHL023061
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
WACO MHL023111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603926
—
NC
05
—
8300897
—
NC
Enumeration date
02/01/2007
Last updated
05/07/2009
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