| NPI | 1154633402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORRESTENE MUCKELVENE Owner 828-273-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC FCL-011-298) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC FCL-011-297) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |