Organization · NPI-2
Achieve Behavioral Health Services Nc LLC
Substance Abuse Rehabilitation Facility · Gastonia, NC
NPI number1255165809
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1255165809
- Entity type
- Organization (NPI-2)
- Legal business name
- Achieve Behavioral Health Services Nc LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
2923 Rousseau CtGastonia, NC 28054-2103
Phone 443-464-1009
Mailing address
2923 Rousseau CtGastonia, NC 28054-2103
Authorized official
Samuel Poggi
Owner
4434641009
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