| Afton Cordoba Llc | |
|
2031 Dunwood Dr Crozet VA 22932-1576 | |
| (469) 338-1147 | |
| Not Available |
| Full Name | Afton Cordoba Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2031 Dunwood Dr, Crozet, Virginia |
| Authorized Official Name and Position | Afton Cordoba (OWNER) |
| Authorized Official Contact | 4693381147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afton Cordoba Llc 2031 Dunwood Dr Crozet VA 22932-1576 Ph: (469) 338-1147 | Afton Cordoba Llc 2031 Dunwood Dr Crozet VA 22932-1576 Ph: (469) 338-1147 |
| NPI Number | 1033875083 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033875083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Aligned Clinical & Educational Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Claremont Ln Ste 103, Crozet, VA 22932 Phone: 434-466-1588 Fax: 866-289-5249 |