Organization · Type 2 NPI

Prime Generation

Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC

NPI number 1407773401 Active

Practice location

2642 Forbes Rd
Gastonia, NC 28056-5206

Fax (704) 516-7190

Mailing address

10540 English Setter Way
Charlotte, NC 28269-1356

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1407773401

Prime Generation's National Provider Identifier is 1407773401, issued on Jul 1, 2026. 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 Jul 1, 2026.