T SHAWN GIBBS

CONCORD, NC
NPI1316248677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: NC  049-143)
Enumeration Date2010-11-03
Last Update Date2018-03-17
Business Address
Mr. T SHAWN GIBBS BS
451 FAITH DR SW (1205093440)
CONCORD, NC 28027
Phone number: 704-771-0456
Mailing Address
Mr. T SHAWN GIBBS BS
PO BOX 1310
CONCORD, NC 28026-1310
Phone number: 704-942-8410
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