| Building Block, Llc | |
|
554 N Main St Ste 103 South Boston VA 24592-3283 | |
| (434) 226-0204 | |
| Not Available |
| Full Name | Building Block, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 554 N Main St Ste 103, South Boston, Virginia |
| Authorized Official Name and Position | Amy Mcmasters-york (CEO) |
| Authorized Official Contact | 4342260204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Block, Llc Po Box 1543 South Boston VA 24592-1543 Ph: () - | Building Block, Llc 554 N Main St Ste 103 South Boston VA 24592-3283 Ph: (434) 226-0204 |
| NPI Number | 1265953194 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265953194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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