| NPI | 1912443151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACOURTNEY D SETZER Owner 828-244-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C010346) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0904009444) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |