Organization
ARP PHOENIX / CROSSROADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TAX (EXECUTIVE DIRECTOR)
(828) 254-2700
Entity
Organization
Contact information
Practice address
425 LINDA VISTA DR, HENDERSONVILLE, NC 28792-2748
(828) 693-7377
(828) 693-1736
Mailing address
PO BOX 16367, ASHEVILLE, NC 28816-0367
(828) 252-8957
(828) 255-8028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL045015
NC
101YM0800X
Mental Health Counselor
MHL045015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005259
—
NC
Enumeration date
07/18/2006
Last updated
06/26/2008
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