Healthcare Provider Details

I. General information

NPI: 1679442859
Provider Name (Legal Business Name): A2CONNECTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 FARM SPRINGS DR
MT HOLLY NC
28120-3022
US

IV. Provider business mailing address

317 FARM SPRINGS DR
MT HOLLY NC
28120-3022
US

V. Phone/Fax

Practice location:
  • Phone: 980-241-2034
  • Fax:
Mailing address:
  • Phone: 980-241-2034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ALLEN
Title or Position: OWNER
Credential:
Phone: 980-241-2034