OrganizationActive
Above and Beyond Enterprise
NPI 1205996899 · Emotionally Disturbed Childrens' Residential Treatment Facility · Kings Mountain, NC
Provider details
- NPI number
- 1205996899
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Lonnie Tucker, Ceo
- License
- MHL-023-108 (NC)
Practice location
104 S Carpenter St
Kings Mountain, NC 28086-3415
Phone: (704) 734-1040
Fax: (704) 734-1095
Mailing address
Po Box 682
Kings Mountain, NC 28086-0682
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.