Organization · NPI-2

Community Living And Choices

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Gastonia, NC

NPI number1467599878
StatusActive
Last updated in NPPESMay 7, 2009

Details

NPI
1467599878
Entity type
Organization (NPI-2)
Legal business name
Community Living And Choices
Organization subpart
No
Enumeration date
Feb 1, 2007
Last updated
May 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesWACO MHL023111NCYes
320600000X Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesBELVEDERE MHL023061NC

Practice location

318 S South St
Gastonia, NC 28052-4379

Phone 704-852-4428

Mailing address

318 S South St
Gastonia, NC 28052-4379

Phone 704-852-4428

Authorized official

Juan Lavar Curry
President
7048524428

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