Healthcare Provider Details

I. General information

NPI: 1427277524
Provider Name (Legal Business Name): NEW PLACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 RANKIN LAKE RD
GASTONIA NC
28052-1888
US

IV. Provider business mailing address

6612 E WT HARRIS BLVD STE D
CHARLOTTE NC
28215-5134
US

V. Phone/Fax

Practice location:
  • Phone: 704-567-8984
  • Fax: 704-567-8954
Mailing address:
  • Phone: 704-567-8984
  • Fax: 704-567-8954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberMHL-036-205
License Number StateNC

VIII. Authorized Official

Name: MR. JAMES ARNELL HUNT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 704-567-8984