| NPI | 1881896116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY ELLIOTT MOORE Qualified Professional 828-649-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |