Organization
COMMUNITY ADVANCEMENT AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN TINGLE (EXECUTIVE DIRECTOR)
(704) 594-4717
Entity
Organization
Contact information
Practice address
2020 REMOUNT RD STE W-107, GASTONIA, NC 28054-7476
(704) 594-4633
Mailing address
2020 REMOUNT RD STE W-107, GASTONIA, NC 28054-7476
(704) 594-4717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
05/04/2022
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