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Organization
OCTOBER ROAD INC.
Active
Organization
OCTOBER ROAD INC.
Active
Other names
October Road ACTT 4
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
3080 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(828) 606-9013
Mailing address
119 TUNNEL RD STE D, ASHEVILLE, NC 28805-1800
(828) 350-1000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
04/10/2024
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