Organization
NEW RIVER SERVICE AUTHORITY
Active
Other names
New River Behavioral HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA G BUCHANAN (PROVIDER PANEL MANAGER)
(828) 263-5666
Entity
Organization
Contact information
Practice address
172 LUKIN ST, MARION, NC 28752-5245
(828) 263-5666
(828) 262-5687
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 263-5666
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MHL-059-050
NC
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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