Provider Demographics
NPI:1821113267
Name:CATAWBA RIVER BEHAVOIRAL & TREATMENT ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CATAWBA RIVER BEHAVOIRAL & TREATMENT ASSOCIATES, INC.
Other - Org Name:FRONITER HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:SECTERARY TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BOSTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:828-437-7110
Mailing Address - Street 1:501 E UNION ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3455
Mailing Address - Country:US
Mailing Address - Phone:828-437-7110
Mailing Address - Fax:828-438-3809
Practice Address - Street 1:4580 SNOWHILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6228
Practice Address - Country:US
Practice Address - Phone:828-437-7110
Practice Address - Fax:828-438-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children