| Blue Ridge Support Services, Llc | |
|
828 Main St Suite 1103 Lynchburg VA 24504-1500 | |
| (434) 316-9112 | |
| (434) 316-9244 |
| Full Name | Blue Ridge Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 828 Main St, Lynchburg, Virginia |
| Authorized Official Name and Position | Richard Gilman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4343169112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Support Services, Llc Po Box 1159 Forest VA 24551-5159 Ph: () - | Blue Ridge Support Services, Llc 828 Main St Suite 1103 Lynchburg VA 24504-1500 Ph: (434) 316-9112 |
| NPI Number | 1437304151 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437304151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1226 (Virginia) | Primary |
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