| NPI | 1235622101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DAVID BLAKEMAN Chief Administration Officer 828-322-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 251S00000X Community/Behavioral Health | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-15 |