Organization
MISSIONHOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLINE WILSON WOMMACK LCSW (PSYCHIATRIC CLINICIAN)
(828) 213-4054
Entity
Organization
Contact information
Practice address
428 BILTMORE AVE, ASHEVILLE, NC 28801-4502
(828) 213-4054
Mailing address
428 BILTMORE AVE, ASHEVILLE, NC 28801-4502
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
002994
NC
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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