| NPI | 1023345139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KEATOR Billing 828-694-2337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: SC OTP-0102) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2024-07-30 |