Organization
GASTON COUNTY GOVERNMENT
Active
Other names
Department of Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA YEATMAN (ADULT SERVICES ADMINISTRATOR)
(704) 862-7663
Entity
Organization
Contact information
Practice address
330 N MARIETTA ST, GASTONIA, NC 28052-2332
(704) 862-7603
(704) 869-6897
Mailing address
330 N MARIETTA ST, GASTONIA, NC 28052-2332
(704) 862-7603
(704) 869-6897
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8700031
MEDICAID PROVIDER
NC
Enumeration date
08/18/2008
Last updated
08/18/2008
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