Provider Demographics
NPI:1730256256
Name:GASTON SKILLS, INC
Entity type:Organization
Organization Name:GASTON SKILLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:BSQP
Authorized Official - Phone:704-869-0300
Mailing Address - Street 1:1301 BESSEMER CITY RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-1106
Mailing Address - Country:US
Mailing Address - Phone:704-869-0300
Mailing Address - Fax:704-869-9594
Practice Address - Street 1:1301 BESSEMER CITY RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-1106
Practice Address - Country:US
Practice Address - Phone:704-869-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GASTON SKILLS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-29
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408830Medicaid
NC8300689Medicaid