| NPI | 1043620305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI JO BIVENS Owner, Manager 828-243-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 10521) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |