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1598381030
THERAPEUTIC CENTER FOR CHANGE
GASTONIA, NC
NPI
1598381030
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Entity Type
Organization
Authorized Contact
GILLIAN SQUILLACIOTI
Psychotherapist
704-755-5213
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-21
Last Update Date
2020-06-21
Business Address
THERAPEUTIC CENTER FOR CHANGE
1566 UNION RD
GASTONIA, NC 28054-5301
Phone number: 704-755-5213
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Mailing Address
THERAPEUTIC CENTER FOR CHANGE
5132 NEWPORT LANDING WAY
GASTONIA, NC 28056-8521
Phone number: 631-974-9403
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