Organization
ORCHID AVE, LLC
Active
Other names
Hawk Ridge THerapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
CATERRA LYNN PONTON (OWNER)
(828) 277-7672
Entity
Organization
Contact information
Practice address
1998 HENDERSONVILLE RD STE 13, ASHEVILLE, NC 28803-2192
(828) 277-7672
Mailing address
1998 HENDERSONVILLE RD STE 13, ASHEVILLE, NC 28803-2192
(828) 277-7672
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116561
STATE LICENSE
NC
Enumeration date
05/02/2023
Last updated
05/02/2023
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