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5010 Hendersonville Rd Fletcher NC 28732-6606 | |
| (828) 884-2475 | |
| (828) 884-2187 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5010 Hendersonville Rd, Fletcher, North Carolina |
| Authorized Official Name and Position | Chad Ryan Husted (VP OF OPERATIONS) |
| Authorized Official Contact | 7706399657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
119 Tunnel Rd Ste B Asheville NC 28805-1800 Ph: (828) 350-1000 | 5010 Hendersonville Rd Fletcher NC 28732-6606 Ph: (828) 884-2475 |
| NPI Number | 1740640549 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740640549 | NPI | - | NPPES |
| MHL-045-121 | Other | NC | DHHS LICENSE NUMBER |
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