612 Behavioral and Community Services
Organization Active NPI Community/Behavioral Health Agency · Gastonia, NC
NPI 1336333129 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1336333129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 612 BEHAVIORAL AND COMMUNITY SERVICES
- Practice address
- 2559 Quail Ridge Dr
Gastonia, NC 28056-9205 - Phone
- (704) 674-5455
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Demise Lamaar Williams
- Title
- Ceo
- Phone
- (704) 674-5455
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2559 Quail Ridge Dr
Gastonia, NC 28056-9205
Mailing address
2559 Quail Ridge Dr
Gastonia, NC 28056-9205
Phone (704) 674-5455
Other providers in Gastonia, NC
- 10 Families, Inc
- 24/7 Transportation Services
- 247 Express Services
- 2ND Chances New Beginnings LLC
- 3Ms Services LLC
- A Better Concept
- A Caring Heart Home Care, LLC
- A Chance for Change, Incorporated
- A Chosen Path, Incorporated
- A Fulfilled Vision Home Health Care
All providers in Gastonia, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.