Organization · Type 2 NPI

Teen Scene Act 1

Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC

NPI number 1386769818 Active

Practice location

118D Hollycrest Ln
Gastonia, NC 28056-9008

Call (704) 854-4840 Map

Fax (704) 854-4208

Mailing address

708 S Chestnut St
Gastonia, NC 28054-4548

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL036180 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1386769818

Teen Scene Act 1's National Provider Identifier is 1386769818, issued on Mar 21, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Gastonia, NC. The record was last updated on Dec 12, 2007.