| NPI | 1790087021 |
|---|---|
| Other Name | CABHA |
| Entity Type | Organization |
| Authorized Contact | PAMELA JOHNSON DOUGLAS Program Director 828-439-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-11-08 |