Organization · Type 2 NPI
Prime Generation
Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC
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
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None 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.