| Recovery Virginia Inc | |
|
10404 Patterson Ave Suite 207 Richmond VA 23238-5128 | |
| (804) 359-6771 | |
| (540) 350-2902 |
| Full Name | Recovery Virginia Inc |
|---|---|
| Speciality | Social Worker |
| Location | 10404 Patterson Ave, Richmond, Virginia |
| Authorized Official Name and Position | David Turner (OWNER) |
| Authorized Official Contact | 8043596771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Virginia Inc 10404 Patterson Ave Suite 207 Richmond VA 23238-5128 Ph: (804) 359-6771 | Recovery Virginia Inc 10404 Patterson Ave Suite 207 Richmond VA 23238-5128 Ph: (804) 359-6771 |
| NPI Number | 1194137901 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Medicare PECOS PAC ID | 9638399389 |
|---|---|
| Medicare Enrollment ID | O20141001002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194137901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001540 (Virginia) | Primary |
| Provider Name | David Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639148182 PECOS PAC ID: 2264652817 Enrollment ID: I20141001002545 |
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