Organization
ASA LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY WILLIAMS (PRESIDENT)
(919) 778-9616
Entity
Organization
Contact information
Practice address
1308 BEN BREWINGTON COURT, GOLDSBORO, NC 27530
(919) 778-9616
Mailing address
717 LONGLEAF AVE, GOLDSBORO, NC 27534
(919) 778-9616
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-096-192
NC
Other
Enumeration date
05/03/2007
Last updated
12/04/2007
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