Provider Demographics
NPI:1093735409
Name:NEIL DOBBINS CENTER- ARP/PHOENIX
Entity Type:Organization
Organization Name:NEIL DOBBINS CENTER- ARP/PHOENIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OPERATINS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-254-2700
Mailing Address - Street 1:277 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4157
Mailing Address - Country:US
Mailing Address - Phone:828-253-6306
Mailing Address - Fax:
Practice Address - Street 1:31 COLLEGE PL
Practice Address - Street 2:B210
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2483
Practice Address - Country:US
Practice Address - Phone:828-254-2700
Practice Address - Fax:828-254-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL011001261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005256Medicaid
NC6005256Medicaid