| NPI | 1487070785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STOCKHAUSEN Owner/Manager 828-242-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1359048) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |