Organization
ST. GERARD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE LONG (EXECUTIVE DIRECTOR)
(828) 693-4223
Entity
Organization
Contact information
Practice address
620 OAKLAND ST, HENDERSONVILLE, NC 28791-3646
(828) 693-4223
(828) 693-6144
Mailing address
620 OAKLAND ST, HENDERSONVILLE, NC 28791-3646
(828) 693-4223
(828) 693-6144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972934974
NPI
NC
Enumeration date
05/15/2014
Last updated
10/04/2016
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