Organization
DIRECTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRANCE ROBERTS (CEO)
(828) 305-4330
Entity
Organization
Contact information
Practice address
135 MICHELLE DR, ELLENBORO, NC 28040-7619
(828) 305-4330
Mailing address
PO BOX 261, CROUSE, NC 28033-0261
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MHL-081-115
NC
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/20/2016
Last updated
11/05/2019
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