RADIANT LIGHT BEHAVIORAL CONCEPTS, LLC

GASTONIA, NC
NPI1730682675
Entity TypeOrganization
Authorized ContactOMAR S LONG
CEO
908-447-0931
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies101Y00000X Counselor
(Licence: NC  2174)
101YM0800X Counselor, Mental Health
(Licence: NC  C001640)
101YM0800X Counselor, Mental Health
(Licence: NC  2436)
Enumeration Date2018-03-16
Last Update Date2019-06-28
Business Address
RADIANT LIGHT BEHAVIORAL CONCEPTS, LLC
625 E 2ND AVE
GASTONIA, NC 28054-0470
Phone number: 908-447-0931
Mailing Address
RADIANT LIGHT BEHAVIORAL CONCEPTS, LLC
301 W MAIN AVE # 2752
GASTONIA, NC 28052-4173
Phone number: 908-447-0931