Organization
NCG ACQUISITION, LLC
Active
Other names
Appalachian Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICOLE DOCKERY (CREDENTIALING SUPERVISOR)
(828) 837-0071
Entity
Organization
Contact information
Practice address
532 MOOSE BRANCH RD, ROBBINSVILLE, NC 28771-7804
(828) 837-0071
Mailing address
PO BOX 444, MURPHY, NC 28906-0444
(828) 837-0071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-038-024
NC
Other
Enumeration date
05/31/2018
Last updated
12/10/2019
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