Organization
COMMUNITY BASED ALTERNATIVES FOR YOUTH
Active
Other names
CBAY Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCNEAL (DIRECTOR OF OPERATIONS)
(704) 865-3525
Entity
Organization
Contact information
Practice address
815 LIMERICK DRIVE, DALLAS, NC 28034-9420
(704) 865-3525
(704) 865-3520
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0020
(704) 865-3525
(704) 865-3520
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-036-220
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-036-220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603777
—
NC
Enumeration date
11/01/2006
Last updated
12/18/2008
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