Wellformed AI

NPI 1902623770 · live from the CMS NPI Registry

247 Express Services

Community/Behavioral Health in Gastonia, NC. National Provider Identifier 1902623770, active.

NPI record

NPI1902623770 Type 2 · organization
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location1072 Joselynn Dr, Gastonia, NC 28054
Practice phone704-400-7748
EnumeratedSeptember 24, 2024
Last updatedSeptember 24, 2024
Authorized officialErica Strong, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Meals174200000X—
Case Management251B00000X—
Day Training, Developmentally Disabled Services251C00000X—
Home Health251E00000X—
Community/Behavioral Health primary251S00000X—
Foster Care Agency253J00000X—
Home Delivered Meals332U00000X—
Non-emergency Medical Transport (VAN)343900000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.