| NPI | 1992974695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO STARK Office Manager 828-696-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |