| Iron Bridge Recovery | |
|
6701 Courtyand Rd Chester VA 23831 | |
| (615) 637-7157 | |
| Not Available |
| Full Name | Iron Bridge Recovery |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 6701 Courtyand Rd, Chester, Virginia |
| Authorized Official Name and Position | Bonita Darlene Mangrum (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 6156377157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Bridge Recovery 6701 Courtyard Rd Chester VA 23831-1430 Ph: (615) 637-5157 | Iron Bridge Recovery 6701 Courtyand Rd Chester VA 23831 Ph: (615) 637-7157 |
| NPI Number | 1033801279 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033801279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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