| NPI | 1942670336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRACK JEFFERYS Consultant 828-273-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |