Basic Information
| Provider Information | |||||||||
| NPI: | 1710116942 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | F.I.R.S.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 802 | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288020802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282771315 | ||||||||
| FaxNumber: | 8282771321 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 SHILOH RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282771315 | ||||||||
| FaxNumber: | 8282771321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2009 | ||||||||
| LastUpdateDate: | 03/12/2019 | ||||||||
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| AuthorizedOfficialLastName: | PRICE FERRELL | ||||||||
| AuthorizedOfficialFirstName: | JANET | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8282167745 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.