Provider Demographics
NPI:1427648013
Name:THE CAIRN OUTPATIENT
Entity type:Organization
Organization Name:THE CAIRN OUTPATIENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PUCCIA
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:828-319-7682
Mailing Address - Street 1:13 ESEK DR
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:NC
Mailing Address - Zip Code:28748-6486
Mailing Address - Country:US
Mailing Address - Phone:828-319-7682
Mailing Address - Fax:
Practice Address - Street 1:257 HAYWOOD RD # 103105
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4545
Practice Address - Country:US
Practice Address - Phone:828-319-7682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility