| NPI | 1992167332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANA DETORO-FORLENZA Owner 828-458-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C009668) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |