INTENTIONAL LONGEVITY, INC. is an adult mental health clinic center in Asheville, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INTENTIONAL LONGEVITY, INC. NPI is 1093174088. The provider is registered as an organization entity type.
The provider Is Doing Business As The Center For Spiritual Emergence & Katharos Sanctuary.
The provider's business location address is:
370 N LOUISIANA AVE
SUITE D3
ASHEVILLE, NC
ZIP 28806-600
Phone: (828) 272-1643
The provider's authorized official is Grady Braxton Jefferys .
The authorized official title is Executive Director and has the following contact phone number (828) 273-1643.
The CLIA number assigned to this NPI record is 34D2112395 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/18/2016 and was last updated on 2/18/2016.