Organization
FIRST AT BLUE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A MARTINEZ JD (EXECUTIVE DIRECTOR)
(828) 337-0487
Entity
Organization
Contact information
Practice address
32 KNOX RD, RIDGECREST, NC 28770
(828) 669-0011
(828) 669-0589
Mailing address
PO BOX 40, 32 KNOX RD, RIDGECREST, NC 28770-0040
(828) 669-0011
(828) 669-0589
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL-011-264
NC
Other
Enumeration date
11/19/2007
Last updated
05/31/2018
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