GASTON ADOLESCENT CENTER, INC.

GASTONIA, NC
NPI1316236458
Entity TypeOrganization
Authorized ContactEDWARD LAWRENCE HALEY
President/CEO
704-585-8017
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: NC  MHL-036-274)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
(Licence: NC  A14039)
1041C0700X Social Worker, Clinical
171M00000X Case Manager/Care Coordinator
(Licence: NC  MHL-036-274)
Enumeration Date2011-03-29
Last Update Date2018-08-16
Business Address
GASTON ADOLESCENT CENTER, INC.
635 COX RD STE B
GASTONIA, NC 28054
Phone number: 704-691-7561
Mailing Address
GASTON ADOLESCENT CENTER, INC.
635 COX RD STE B
GASTONIA, NC 28054-3441
Phone number: 704-691-7561