NEW RIVER SERVICE AUTHORITY
Ambulatory Health at Lukin St, Marion, NC

License number
North Carolina MHL-059-050
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: DONNA G BUCHANAN
Title: PROVIDER PANEL MANAGER
Phone: (828) 263-5666
Address
Address 2
172 Lukin St, Marion, NC 28752
895 State Farm Rd SUITE 508, Boone, NC 28607
National Provider ID: 1205132008
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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New River Service Authority

895 State Farm Rd, Boone, NC 28607

Status:
Inactive
Industry:
Specialty Outpatient Clinic, Services-Misc
Office Managers:
Patricia P. Andrews (Chief Executive Officer),Pamela P. Andrews (Chief Executive Officer, Principal),Katy Wilson (Quality Management Nurse),...

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