| Organization Name: | NEW RIVER SERVICE AUTHORITY |
| NPI Number: | 1013149665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA P ANDREWS (CEO) |
| Mailing Address: | 524 Signal Hill Drive Ext Statesville |
| State: | NC US |
| Postal Code: | 286254391 |
| Phone Number: | 7048711045 |
| Fax Number: | 7048838638 |
| NPI Enumeration Date: | 08/17/2009 |
| NPI Last Update Date: | 08/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHL-049-108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |