| Blue Ridge Aba Llc | |
|
204 Peakland Ct Bedford VA 24523-1229 | |
| (540) 583-0416 | |
| Not Available |
| Full Name | Blue Ridge Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 Peakland Ct, Bedford, Virginia |
| Authorized Official Name and Position | Nicole D Overstreet (OWNER) |
| Authorized Official Contact | 5405830416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Aba Llc 204 Peakland Ct Bedford VA 24523-1229 Ph: (540) 583-0416 | Blue Ridge Aba Llc 204 Peakland Ct Bedford VA 24523-1229 Ph: (540) 583-0416 |
| NPI Number | 1437815065 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437815065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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