Organization
GHA AUTISM SUPPORTS
Active
Other names
Bost Road Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARWOOD ALLEN (CEO)
(704) 982-9600
Entity
Organization
Contact information
Practice address
24950 BOST RD, ALBEMARLE, NC 28001-7488
(704) 982-9600
(704) 982-8155
Mailing address
PO BOX 2487, ALBEMARLE, NC 28002-2487
(704) 982-9600
(704) 982-8155
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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