BREAKAWAY IOP LLC

ASHEVILLE, NC
NPI1518349034
Entity TypeOrganization
Authorized ContactGRADY BRAXTON JEFFERYS
Program Director
828-273-1643
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2015-06-20
Last Update Date2015-06-20
Business Address
BREAKAWAY IOP LLC
7 BEAVERDAM RD
ASHEVILLE, NC 28804-6626
Phone number: 828-707-0250
Mailing Address
BREAKAWAY IOP LLC
213 MEADOW RUN EXT
ASHEVILLE, NC 28806-9787
Phone number: 828-707-0250