Organization
LUCA'S HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALARIE BUTLER STANBACK (EXECUTIVE DIRECTOR)
(828) 228-7309
Entity
Organization
Contact information
Practice address
7947 STILLWATER DR, SHERRILLS FORD, NC 28673-8325
(828) 478-2012
Mailing address
7947 STILLWATER DR, SHERRILLS FORD, NC 28673-8325
(828) 228-7309
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
018088
NC
Other
Enumeration date
03/06/2009
Last updated
04/29/2018
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