Teen Scene Act 3

LBN: Teen Scene Act 3
Teen Scene Act 3 is an health care organization with primary practice located at 114 B Hollycrest Lane , Gastonia NC 28056-9008. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Teen Scene Act 3 can be contacted via phone (704) 854-4840, or through Truesdell, Chanda via phone (704) 854-4840.

Contact Information

Primary practice address
114 B Hollycrest Lane Gastonia NC 28056-9008
Phone: (704) 854-4840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Truesdell, Chanda
Phone: (704) 854-4840

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-036-182 North Carolina

Profile Details

NPI number 1639352826
LBN Legal business name Teen Scene Act 3
DBA Doing business as
Authorized official Truesdell, Chanda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Dec 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639352826 NPPES
North Carolina MEDICAID 6604134

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