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Organization
APPALACHIAN STATE UNIVERSITY
Active
Organization
APPALACHIAN STATE UNIVERSITY
Active
Other names
Appalachian Family Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE WHITE BA (INTERIM DIRECTOR)
(828) 433-7176
Entity
Organization
Contact information
Practice address
203 AVERY AVE, MORGANTON, NC 28655-3102
(828) 433-7176
(828) 437-8329
Mailing address
203 AVERY AVE, MORGANTON, NC 28655-3102
(828) 433-7176
(828) 437-8329
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300145
—
NC
05
—
8300145K
—
NC
Enumeration date
12/13/2006
Last updated
06/03/2008
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