| NPI | 1912228107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICHARD CLONTZ Practice Manager 828-254-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL011273) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |