Organization
EQUINOX RTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE S. GILLETT PH.D., LMFT (EXECUTIVE DIRECTOR)
(801) 913-8795
Entity
Organization
Contact information
Practice address
2420 MIDDLE FORK RD, HENDERSONVILLE, NC 28792-1032
(801) 913-8795
Mailing address
530 UPPER FLAT CREEK RD, WEAVERVILLE, NC 28787-8331
(828) 484-9928
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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