Provider Demographics
NPI:1750713285
Name:ASHEVILLE ACADEMY FOR GIRLS
Entity type:Organization
Organization Name:ASHEVILLE ACADEMY FOR GIRLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-777-0981
Mailing Address - Street 1:530 UPPER FLAT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8331
Mailing Address - Country:US
Mailing Address - Phone:828-484-9946
Mailing Address - Fax:877-268-8161
Practice Address - Street 1:530 UPPER FLAT CREEK RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8331
Practice Address - Country:US
Practice Address - Phone:828-484-9946
Practice Address - Fax:877-268-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75662322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC75662OtherCARF RESIDENTIAL TREATMENT CENTER FOR CHILDREN AND ADOLESCENCE