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Gaston Residential Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gastonia, North Carolina
NPI 1558425884

Gaston Residential Services, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gastonia, NC. Gaston Residential Services, Inc. practices in Gastonia, NC. The NPI Number for Gaston Residential Services, Inc. is 1558425884 and holds a License No. (North Carolina).

The current practice location address for Gaston Residential Services, Inc. is 905A N New Hope Rd, Gastonia, NC and can be reached out via phone at 704-861-9280 and via fax at 704-868-2154.

Location: 905A N New Hope Rd, Gastonia, NC, 28054-3354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558425884
Provider Name
Gaston Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
905A N New Hope Rd, Gastonia, NC, 28054-3354
Phone Number
704-861-9280
Fax Number
704-868-2154
Provider Enumeration Date
12/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL-036-239 01 NC FAIRVIEW GROUP HOME LICENSE
8300506 05 NC
7802582 05 NC
7804622 05 NC
3408863 05 NC
7802105 05 NC
7802058 05 NC
institution
Provider Business Practice Location Address Details
Address
905A N New Hope Rd
City
Gastonia
State
North Carolina
Zip
28054-3354
Phone Number
704-861-9280
Fax Number
704-868-2154
person
Provider Business Mailing Address Details
Address
905A N New Hope Rd
City
Gastonia
State
North Carolina
Zip
28054-3354
Phone Number
704-861-9280
Fax Number
704-868-2154
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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