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Organization
NEW RIVER SERVICE AUTHORITY
Active
Organization
NEW RIVER SERVICE AUTHORITY
Active
Other names
New River Behavvioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA P ANDREWS (CEO)
(336) 372-4095
Entity
Organization
Contact information
Practice address
524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4391
(704) 871-1045
(704) 883-8638
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 264-9007
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHL-049-108
NC
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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