Provider Demographics
NPI:1730406257
Name:STARTING POINT CAROLINA
Entity type:Organization
Organization Name:STARTING POINT CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:X
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-854-9828
Mailing Address - Street 1:1723 ARMSTRONG PARK DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4802
Mailing Address - Country:US
Mailing Address - Phone:704-854-9828
Mailing Address - Fax:704-854-9882
Practice Address - Street 1:1723 ARMSTRONG PARK DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4802
Practice Address - Country:US
Practice Address - Phone:704-854-9828
Practice Address - Fax:704-854-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251S00000XAgenciesCommunity/Behavioral Health