Organization
JUST KIDZ SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOECILYN LAVADA WALLACE PH.D (EXECUTIVE DIRECTOR)
(704) 671-2222
Entity
Organization
Contact information
Practice address
2571 PEMBROKE ROAD, SUITE A, GASTONIA, NC 28054-7426
(704) 671-2222
(704) 671-2237
Mailing address
2571A PEMBROKE RD, GASTONIA, NC 28054-4712
(704) 671-2222
(704) 671-2237
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
08/21/2014
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