Organization
MARY BENSON HOUSE - ARP/PHOENIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TAX (EXECUTIVE DIRECTOR)
(828) 254-2700
Entity
Organization
Contact information
Practice address
450 MONTFORD AVE, ASHEVILLE, NC 28801-1015
(828) 252-5280
Mailing address
PO BOX 16367, ASHEVILLE, NC 28816-0367
(828) 252-8957
(828) 255-8028
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
MHL011106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005260
—
NC
Enumeration date
07/18/2006
Last updated
06/26/2008
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