| Jubilee Behavioral Health Services Inc | |
|
1512 Florida Ave Lynchburg VA 24501-4112 | |
| (434) 845-0433 | |
| (434) 845-4740 |
| Full Name | Jubilee Behavioral Health Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1512 Florida Ave, Lynchburg, Virginia |
| Authorized Official Name and Position | Sterling Allen Wilder (CEO) |
| Authorized Official Contact | 4344440558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jubilee Behavioral Health Services Inc 1512 Florida Ave Lynchburg VA 24501-4112 Ph: (434) 845-0433 | Jubilee Behavioral Health Services Inc 1512 Florida Ave Lynchburg VA 24501-4112 Ph: (434) 845-0433 |
| NPI Number | 1114269115 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114269115 | NPI | - | NPPES |
| 1886 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1886 (Virginia) | Primary |
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