| New River Behavioral Health And Associates,llc | |
|
175 W Main St Ste 204 Wytheville VA 24382-2374 | |
| (276) 223-0234 | |
| (276) 223-0123 |
| Full Name | New River Behavioral Health And Associates,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 175 W Main St Ste 204, Wytheville, Virginia |
| Authorized Official Name and Position | Robert Ernest Wallace (CEO) |
| Authorized Official Contact | 2762230234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Behavioral Health And Associates,llc 175 W Main St Ste 204 Wytheville VA 24382-2374 Ph: (276) 223-0234 | New River Behavioral Health And Associates,llc 175 W Main St Ste 204 Wytheville VA 24382-2374 Ph: (276) 223-0234 |
| NPI Number | 1043572886 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043572886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1758 (Virginia) | Primary |
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