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Organization
OCTOBER ROAD, INC.
Active
Organization
OCTOBER ROAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
200 QUEENS RD STE 101, CHARLOTTE, NC 28204-3252
(828) 350-1000
(828) 350-1300
Mailing address
119 TUNNEL RD STE B, ASHEVILLE, NC 28805-1800
(828) 350-1000
(828) 350-1300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
04/10/2024
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