Organization
WILLOW PLACE II, INC
Active
Other names
Willow Place
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (IMPLEMENTATION)
(954) 272-6612
Entity
Organization
Contact information
Practice address
30 GARFIELD ST, SUITE A, ASHEVILLE, NC 28803-7302
(828) 254-3484
Mailing address
30 GARFIELD ST, SUITE A, ASHEVILLE, NC 28803-7302
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
MHL-001-366
NC
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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