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Organization

SMOKY MOUNTAIN CENTER FOR MH DD SAS

Active
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Organization

SMOKY MOUNTAIN CENTER FOR MH DD SAS

Active
Other names
Smoky Mountain Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS W. MCDEVITT (AREA DIRECTOR)
(828) 586-5501
Entity
Organization

Contact information

Practice address
91 TIMBERLANE RD, WAYNESVILLE, NC 28786-7927
(828) 586-5501
(828) 586-3965
Mailing address
44 BONNIE LANE, SYLVA, NC 28779-8511
(828) 586-5501
(828) 586-3965

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801105D
MEDICARE
NC
05
—
6005662
—
NC
Enumeration date
03/21/2007
Last updated
03/26/2008
About Stedi
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