Organization
TAR HEEL HABILITATION SERVICES, LLC
Active
Other names
John's House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE' PAUL GASTON J.D. (CHIEF EXECUTIVE OFFICER)
(317) 366-6082
Entity
Organization
Contact information
Practice address
1301 W MONROE ST, SALISBURY, NC 28144-3935
(317) 366-6082
Mailing address
1301 W MONROE ST, SALISBURY, NC 28144-3935
(317) 366-6082
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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