| NPI | 1972008233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIRA S DUCKWORTH Credentialing Specialist 828-437-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |