Provider Demographics
NPI:1013359793
Name:ASHEVILLE RECOVERY GROUP
Entity Type:Organization
Organization Name:ASHEVILLE RECOVERY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS-A
Authorized Official - Phone:828-242-8177
Mailing Address - Street 1:22 BRUCEMONT CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3403
Mailing Address - Country:US
Mailing Address - Phone:828-423-0023
Mailing Address - Fax:828-575-2009
Practice Address - Street 1:22 BRUCEMONT CIR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3403
Practice Address - Country:US
Practice Address - Phone:828-423-0023
Practice Address - Fax:828-575-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1205625251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health