October Road, Inc.
NPI #1992419550 in Walnut Cove, North Carolina
Provider Information
- NPI Number
- 1992419550
- Entity Type
- Organization
- Organization Name
- October Road, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 9, 2023
- Last Updated
- Apr 10, 2024
Practice Location
- Address
- 522 N MAIN ST
- City
- Walnut Cove
- State
- North Carolina
- ZIP Code
- 27052-9247
- Phone
- (828) 350-1000
Authorized Official
- Name
- JASON HENDRICKS
- Title
- CEO
- Phone
- (148) 940-0407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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