Organization
PIEDMONT ADOLESCENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE TAYLOR (EXECUTIVE DIRECTOR)
(704) 923-2746
Entity
Organization
Contact information
Practice address
2424 SUNSET AVE APT E, APT E, GASTONIA, NC 28052-1146
(704) 842-6994
Mailing address
PO BOX 12803, GASTONIA, NC 28052-0015
(704) 842-6994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300969-B
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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