Breakaway Iop LLC
NPI #1518349034 in Asheville, North Carolina
Provider Information
- NPI Number
- 1518349034
- Entity Type
- Organization
- Organization Name
- Breakaway Iop LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jun 20, 2015
- Last Updated
- Jun 20, 2015
Practice Location
- Address
- 7 BEAVERDAM RD
- City
- Asheville
- State
- North Carolina
- ZIP Code
- 28804-6626
- Phone
- (828) 707-0250
Authorized Official
- Name
- DR. GRADY BRAXTON JEFFERYS JR., PH.D.
- Title
- PROGRAM DIRECTOR
- Phone
- (828) 273-1643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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