Organization
AB FAMILY SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA S. WILSON PH.D. (OWNER/CLINICAL DIRECTOR)
(828) 254-4858
Entity
Organization
Contact information
Practice address
81B CENTRAL AVENUE, ASHEVILLE, NC 28801-2438
(828) 254-4858
(828) 254-4857
Mailing address
81B CENTRAL AVENUE, ASHEVILLE, NC 28801-2438
(828) 254-4858
(828) 254-4857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2722-PSYCHOLOGIST
NC
251S00000X
Community/Behavioral Health Agency
Primary
2722-PSYCHOLOGIST
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006895
—
NC
Enumeration date
04/21/2010
Last updated
07/15/2010
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