Austin-miller Residential | |
3563 Brymoor Rd Sw Roanoke VA 24018-2103 | |
(540) 793-2076 | |
(540) 387-0406 |
Full Name | Austin-miller Residential |
---|---|
Speciality | Community/behavioral Health |
Location | 3563 Brymoor Rd Sw, Roanoke, Virginia |
Authorized Official Name and Position | Kirby Campbell (OWNER) |
Authorized Official Contact | 5405562292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Austin-miller Residential 3563 Brymoor Rd Sw Roanoke VA 24018-2103 Ph: (540) 793-2076 | Austin-miller Residential 3563 Brymoor Rd Sw Roanoke VA 24018-2103 Ph: (540) 793-2076 |
NPI Number | 1659523785 |
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Provider Enumeration Date | 10/21/2008 |
Last Update Date | 10/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659523785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 711-03-001 (Virginia) | Primary |
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