Opportunity House | |
430 Industrial Dr Pennington Gap VA 24277-1610 | |
(276) 546-4357 | |
(276) 546-4640 |
Full Name | Opportunity House |
---|---|
Speciality | Community/behavioral Health |
Location | 430 Industrial Dr, Pennington Gap, Virginia |
Authorized Official Name and Position | E Douglas Varney (PRESIDENT AND CEO) |
Authorized Official Contact | 4234673600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Opportunity House Po Box 9054 Gray TN 37615-9054 Ph: (423) 467-3600 | Opportunity House 430 Industrial Dr Pennington Gap VA 24277-1610 Ph: (276) 546-4357 |
NPI Number | 1881745925 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881745925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 315-02-011 (Virginia) | Primary |
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