| Mid-atlantic Recovery Center Shenandoah Llc | |
|
15 Pratts Run Ste Ao1 Waynesboro VA 22980-6606 | |
| (540) 221-4912 | |
| Not Available |
| Full Name | Mid-atlantic Recovery Center Shenandoah Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15 Pratts Run Ste Ao1, Waynesboro, Virginia |
| Authorized Official Name and Position | Natalie Geren Broadnax (PRESIDENT) |
| Authorized Official Contact | 7062940807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Recovery Center Shenandoah Llc 15 Pratts Run Ste Ao1 Waynesboro VA 22980-6606 Ph: (540) 221-4912 | Mid-atlantic Recovery Center Shenandoah Llc 15 Pratts Run Ste Ao1 Waynesboro VA 22980-6606 Ph: (540) 221-4912 |
| NPI Number | 1932794120 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932794120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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