GASTON ADOLESCENT CENTER, INC.

Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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Contact Information

GASTON ADOLESCENT CENTER, INC.

635 COX RD STE B
GASTONIA, NC 28054

Phone: 704-691-7561
Fax: 704-691-7563
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Behavioral Health	251S00000X
Case Manager/Care Coordinator	171M00000X
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Mental Health	101YM0800X
Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for GASTON ADOLESCENT CENTER, INC.

NPI # 1316236458

LBN Legal business name GASTON ADOLESCENT CENTER, INC.

Authorized official EDWARD HALEY - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/29/2011

Last updated 08/16/2018 - About 8 years ago

Identifiers

NC	License #	A14039
NC	License #	MHL-036-274

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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