Basic Information
Provider Information
NPI: 1114096633
EntityType: 2
ReplacementNPI:  
OrganizationName: PARKWAY BEHAVIORAL HEALTH
LastName:  
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Mailing Information
Address1: 356 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014516
CountryCode: US
TelephoneNumber: 8282545008
FaxNumber:  
Practice Location
Address1: 86 HOSPITAL DR
Address2: SUITE B
City: BREVARD
State: NC
PostalCode: 287123000
CountryCode: US
TelephoneNumber: 8288842027
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/07/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: LAYTON
AuthorizedOfficialFirstName: SANDRA
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AuthorizedOfficialTitleorPosition: PARTNER
AuthorizedOfficialTelephone: 8282545008
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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