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Teen Scene Act 1
Emotionally Disturbed Childrens' Residential Treatment Facility in Gastonia, North Carolina
NPI 1386769818

Teen Scene Act 1 is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Gastonia, NC. Teen Scene Act 1 practices in Gastonia, NC. The NPI Number for Teen Scene Act 1 is 1386769818 and holds a License No. MHL036180 (North Carolina).

The current practice location address for Teen Scene Act 1 is 118D Hollycrest Ln, Gastonia, NC and can be reached out via phone at 704-854-4840 and via fax at 704-854-4208.

Location: 118D Hollycrest Ln, Gastonia, NC, 28054-4548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386769818
Provider Name
Teen Scene Act 1
Credential
Provider Entity Type
Organization
Address
118D Hollycrest Ln, Gastonia, NC, 28054-4548
Phone Number
704-854-4840
Fax Number
704-854-4208
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6604133 05 NC
institution
Provider Business Practice Location Address Details
Address
118D Hollycrest Ln
City
Gastonia
State
North Carolina
Zip
28056-9008
Phone Number
704-854-4840
Fax Number
704-854-4208
person
Provider Business Mailing Address Details
Address
118D Hollycrest Ln
City
Gastonia
State
North Carolina
Zip
28056-9008
Phone Number
704-854-4840
Fax Number
704-854-4208
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL036180 (North Carolina)
Definition
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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