Organization
CLEVELAND PSYCHOSOCIAL SERVICE, INC.
Active
Organization
CLEVELAND PSYCHOSOCIAL SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY GUNN (EXECUTIVE DIRECTOR)
(704) 482-3370
Entity
Organization
Contact information
Practice address
809 N LAFAYETTE ST, SHELBY, NC 28150-3978
(704) 487-4422
(704) 487-4304
Mailing address
924 N LAFAYETTE ST, SHELBY, NC 28150-3833
(704) 482-3370
(704) 482-3383
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300640B
—
NC
Enumeration date
07/23/2006
Last updated
08/22/2020
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