Organization
FIRST STEP FARM OF WESTERN N. C., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. MICHAEL PLEMMONS (EXECUTIVE DIRECTOR)
(828) 667-0587
Entity
Organization
Contact information
Practice address
215 BLACK OAK COVE RD, CANDLER, NC 28715-8139
(828) 667-0587
(828) 665-5606
Mailing address
215 BLACK OAK COVE RD, CANDLER, NC 28715-8139
(828) 667-0587
(828) 665-5606
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL 011-003/011-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL#011-003/011-080
NC STATE FUNDED THROUGH LOCAL MANAGEMENT ENTITY
NC
Enumeration date
09/23/2013
Last updated
09/23/2013
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