Active NPI
Friendly Place
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Gastonia, NC
National Provider Identifier
1700898236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 036225
- Legal business name
- FRIENDLY PLACE
- Practice address
- 3624 Somerset Dr
Gastonia, NC 28052-9414 - Phone
- (704) 867-4936
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Brown
- Title
- Owner
- Phone
- (704) 913-2502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 036225 | NC | Primary |
Addresses
Primary practice location
3624 Somerset Dr
Gastonia, NC 28052-9414
Mailing address
3624 Somerset Dr
Gastonia, NC 28052-9414
Phone (704) 867-4936
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700898236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 SOMERSET DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280529414",
"telephone_number": "704-867-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 SOMERSET DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280529414",
"telephone_number": "704-867-4936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-913-2502"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "036225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.