Breakaway Iop Llc

LBN: Breakaway Iop Llc
Breakaway Iop Llc is an health care organization with primary practice located at 7 Beaverdam Rd , Asheville NC 28804-6626. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Breakaway Iop Llc can be contacted via phone (828) 707-0250, or through Jefferys, Grady Braxton via phone (828) 273-1643.

Contact Information

Primary practice address
7 Beaverdam Rd Asheville NC 28804-6626
Phone: (828) 707-0250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jefferys, Grady Braxton PH.D.
Phone: (828) 273-1643

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1518349034
LBN Legal business name Breakaway Iop Llc
DBA Doing business as
Authorized official Jefferys, Grady Braxton PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2015
Last updated Jun 20th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers