Provider Demographics
NPI:1023538600
Name:APPALACHIAN OUTPATIENT SERVICES
Entity Type:Organization
Organization Name:APPALACHIAN OUTPATIENT SERVICES
Other - Org Name:TAPESTRY ADOLESCENT RESIDENTIAL PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:HUSTED
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-639-9657
Mailing Address - Street 1:119 TUNNEL RD STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1800
Mailing Address - Country:US
Mailing Address - Phone:828-350-1000
Mailing Address - Fax:828-350-1300
Practice Address - Street 1:5030 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-6694
Practice Address - Country:US
Practice Address - Phone:828-884-2475
Practice Address - Fax:828-884-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness