# APPALACHIAN STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Appalachian Family Innovations
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730240714
- **Authorized official:** MRS. PATRICE WHITE BA (INTERIM DIRECTOR)
- **Authorized official phone:** (828) 433-7176

## Contact information

- **Practice address:** 203 AVERY AVE, MORGANTON, NC 28655-3102
- **Practice address phone:** (828) 433-7176
- **Practice address fax:** (828) 437-8329
- **Mailing address:** 203 AVERY AVE, MORGANTON, NC 28655-3102
- **Mailing address phone:** (828) 433-7176
- **Mailing address fax:** (828) 437-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NC | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 06/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8300145 | — | NC |
| 05 | — | 8300145K | — | NC |