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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN STADER LPC, LCAS, CCS-I (CEO)
(828) 350-9960
Entity
Organization

Contact information

Practice address
900 HENDERSONVILLE RD, SUITE 203, ASHEVILLE, NC 28803-1734
(828) 350-9960
Mailing address
900 HENDERSONVILLE RD, SUITE 203, ASHEVILLE, NC 28803-1734

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/04/2017
Last updated
04/24/2025
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