Organization · Type 2 NPI

Teen Scene Act 3

Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC

NPI number 1639352826 Active

Practice location

114 B Hollycrest Lane
Gastonia, NC 28056-9008

Call (704) 854-4840 Map

Mailing address

708 S Chestnut St
Gastonia, NC 28054-4548

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-036-182 (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 1639352826

Teen Scene Act 3's National Provider Identifier is 1639352826, issued on Dec 11, 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.