# OCTOBER ROAD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669086948
- **Authorized official:** MR. JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (148) 940-0407

## Contact information

- **Practice address:** 1304 PLAZA DR STE 2312, BURLINGTON, NC 27215-7165
- **Practice address phone:** (828) 350-1000
- **Practice address fax:** (828) 350-1300
- **Mailing address:** 119 TUNNEL RD STE D, ASHEVILLE, NC 28805-1800
- **Mailing address phone:** (828) 350-1000
- **Mailing address fax:** (828) 350-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 04/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8305312 | — | NC |