Autism Sanctuary, Inc. | |
2860 Pea Ridge Rd Charlottesville VA 22901-5123 | |
(434) 989-0581 | |
Not Available |
Full Name | Autism Sanctuary, Inc. |
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Speciality | Community/behavioral Health |
Location | 2860 Pea Ridge Rd, Charlottesville, Virginia |
Authorized Official Name and Position | Casey Clarke (DIRECTOR OF APPLIED PRACTICE) |
Authorized Official Contact | 4349890581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autism Sanctuary, Inc. 2860 Pea Ridge Rd Charlottesville VA 22901-5123 Ph: () - | Autism Sanctuary, Inc. 2860 Pea Ridge Rd Charlottesville VA 22901-5123 Ph: (434) 989-0581 |
NPI Number | 1114706884 |
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Provider Enumeration Date | 09/22/2023 |
Last Update Date | 09/22/2023 |
Certification Date | 09/22/2023 |
Identifier | Type | State | Issuer |
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1114706884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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