Organization
APPALACHIAN STATE UNIVERSITY
Active
Other names
Appalachian Family Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICE WHITE BA (INTERIM DIRECTOR)
(828) 433-7176
Entity
Organization
Contact information
Practice address
203 AVERY AVE, MORGANTON, NC 28655-3102
(828) 433-7176
(828) 437-8329
Mailing address
203 AVERY AVE, MORGANTON, NC 28655-3102
(828) 433-7176
(828) 437-8329
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300145
—
NC
05
—
8300145K
—
NC
Enumeration date
12/13/2006
Last updated
06/03/2008
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