Provider Demographics
NPI:1801392071
Name:TGH BEHAVIORAL HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:TGH BEHAVIORAL HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAJUANA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-643-7450
Mailing Address - Street 1:4030 WOODLEAF RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7771
Mailing Address - Country:US
Mailing Address - Phone:980-643-7450
Mailing Address - Fax:704-745-5975
Practice Address - Street 1:4030 WOODLEAF RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-7771
Practice Address - Country:US
Practice Address - Phone:980-643-7450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health