Organization
ST. GERARD HOUSE
Active
Organization
ST. GERARD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE LONG (EXECUTIVE DIRECTOR)
(828) 693-4223
Entity
Organization
Contact information
Practice address
705 OAKLAND ST, HENDERSONVILLE, NC 28791-3647
(828) 693-4223
Mailing address
620 OAKLAND ST, HENDERSONVILLE, NC 28791-3646
(828) 693-4223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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