Organization
NEW TRANSITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE BROWN II (CEO)
(704) 913-2515
Entity
Organization
Contact information
Practice address
1589 ROLLING MEADOW LN, GASTONIA, NC 28054-6325
(704) 913-2515
Mailing address
1589 ROLLING MEADOW LN, GASTONIA, NC 28054-6325
(704) 913-2515
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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