# NEW RIVER SERVICE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New River Behavioral HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205132008
- **Authorized official:** DONNA G BUCHANAN (PROVIDER PANEL MANAGER)
- **Authorized official phone:** (828) 263-5666

## Contact information

- **Practice address:** 172 LUKIN ST, MARION, NC 28752-5245
- **Practice address phone:** (828) 263-5666
- **Practice address fax:** (828) 262-5687
- **Mailing address:** 895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
- **Mailing address phone:** (828) 263-5666
- **Mailing address fax:** (828) 262-5687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | MHL-059-050 | NC | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 01/27/2011