| NPI | 1184391625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R WEST Business Administrative Specialist 828-608-3672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-12-10 |