| Center For Neurorehabilitation Services | |
|
7401 Beaufont Springs Dr Suite 205 North Chesterfield VA 23225-5520 | |
| (804) 272-0114 | |
| (804) 272-1125 |
| Full Name | Center For Neurorehabilitation Services |
|---|---|
| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
| Location | 7401 Beaufont Springs Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Van William Luethke (ADMINISTRATOR) |
| Authorized Official Contact | 8042720114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurorehabilitation Services 7401 Beaufont Springs Dr Suite 205 North Chesterfield VA 23225-5520 Ph: (804) 272-0114 | Center For Neurorehabilitation Services 7401 Beaufont Springs Dr Suite 205 North Chesterfield VA 23225-5520 Ph: (804) 272-0114 |
| NPI Number | 1275672073 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275672073 | NPI | - | NPPES |
| 350504800 | Other | VA | DOL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | 0101036956 (Virginia) | Primary |
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