Organization
IRENE WORTHAM CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R. MATTHEW HENRY (PRESIDENT & CEO)
(828) 274-6050
Entity
Organization
Contact information
Practice address
18 AZALEA ST, ASHEVILLE, NC 28803-2814
(828) 274-7518
(828) 274-1582
Mailing address
916 W CHAPEL RD, ASHEVILLE, NC 28803-2844
(828) 274-7518
(828) 274-1582
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408657
—
NC
Enumeration date
02/21/2007
Last updated
06/20/2019
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