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Organization
OCTOBER ROAD INC
Active
Organization
OCTOBER ROAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
(814) 940-0407
Entity
Organization
Contact information
Practice address
399 OLD LEICESTER RD, ASHEVILLE, NC 28804-9656
(828) 350-1000
(828) 350-1300
Mailing address
119 TUNNEL ROAD, SUITE D, ASHEVILLE, NC 28805
(828) 350-1000
(828) 350-1300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
NONE HOUSING ONLY
—
Other
Enumeration date
10/05/2013
Last updated
04/10/2024
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