Intentional Longevity, Inc.
NPI #1093174088 in Asheville, North Carolina
Provider Information
- NPI Number
- 1093174088
- Entity Type
- Organization
- Organization Name
- Intentional Longevity, Inc.
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 18, 2016
- Last Updated
- Feb 18, 2016
Practice Location
- Address
- 370 N LOUISIANA AVE
- Address 2
- SUITE D3
- City
- Asheville
- State
- North Carolina
- ZIP Code
- 28806-3600
- Phone
- (828) 272-1643
Authorized Official
- Name
- DR. GRADY BRAXTON JEFFERYS JR., PH.D.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (828) 273-1643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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