| NPI | 1508222431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G FACTOR Owner 828-578-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A12130) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |