Organization
TOWERGATE YOUTH AND FAMILY SERVICES, INC.
Active
Parent organization
TOWERGATE YOUTH AND FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWERGATE YOUTH AND FAMILY SERVICES
Authorized official
BRAD LESSANE (VP FINANCE)
(704) 701-2123
Entity
Organization
Contact information
Practice address
501 MARY CHARLOTTE LN, CHARLOTTE, NC 28262-0855
(704) 701-2123
Mailing address
PO BOX 822, CONCORD, NC 28026-0822
(704) 701-2123
(704) 793-1882
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603316
—
NC
Enumeration date
03/15/2007
Last updated
09/12/2007
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