| NPI | 1356715791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRIE COLLEEN JUSTUS Credentialing Manager 828-631-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2018-06-18 |