1063747319 GARY
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- GARY
- Enumeration Date
- October 5, 2009
- Last Update
- August 30, 2017
- Authorized Official
- SHANNON CHILDRESS
CHIEF CLINICAL OFFICER
Phone: (704) 825-4161
Practice Location
- Address
- 301 MCAULEY CIRCLE
BELMONT, NC 280120710 - Phone
- (704) 825-4161
- Fax
- (704) 825-0401
Mailing Address
- Address
- 6600 W WILKINSON BLVD
BELMONT, NC 280122796 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Care Home Facility Adult Care Home | 311ZA0620X | Custodial Care Facility | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-036-112 | NC | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619310851 | 01 | NC | STATE FUNDS |
| 7803424 | 05 | NC | N/A |
Frequently Asked Questions
What is GARY's NPI number?
GARY's NPI number is 1063747319.
Which doctor has NPI number 1063747319?
The doctor with NPI number 1063747319 is GARY.
What is GARY's practice address?
GARY's practice address is 301 MCAULEY CIRCLE, BELMONT, NC, 280120710.
Which doctor practices at 301 MCAULEY CIRCLE, BELMONT, NC, 280120710?
GARY practices at 301 MCAULEY CIRCLE, BELMONT, NC, 280120710.
What is GARY's mailing address?
GARY's mailing address is 6600 W WILKINSON BLVD, BELMONT, NC, 280122796.
What is GARY's phone number?
GARY's phone number is (704) 825-4161.
Who is (704) 825-4161?
(704) 825-4161 is the phone number for GARY.
What is GARY's specialty?
GARY's specialty is Community/Behavioral Health Agency.
What type of doctor is GARY?
GARY is a Community/Behavioral Health Agency.
Is GARY a Community/Behavioral Health?
Yes, GARY is a Community/Behavioral Health.
Is GARY still practicing?
Yes, GARY is currently practicing.
Is GARY accepting new patients?
GARY may be accepting new patients. Please call their office at (704) 825-4161 to inquire about availability.
Is NPI 1063747319 still active?
Yes, NPI 1063747319 is currently active.
Where does GARY practice?
GARY practices in BELMONT, NC.