| Warren County Community Health Coalition, Llc | |
|
538 Villa Ave Front Royal VA 22630-2724 | |
| (540) 303-1717 | |
| Not Available |
| Full Name | Warren County Community Health Coalition, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 538 Villa Ave, Front Royal, Virginia |
| Authorized Official Name and Position | Christa Dawn Shifflett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5405396385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren County Community Health Coalition, Llc 538 Villa Ave Front Royal VA 22630-2724 Ph: (540) 303-1717 | Warren County Community Health Coalition, Llc 538 Villa Ave Front Royal VA 22630-2724 Ph: (540) 303-1717 |
| NPI Number | 1316663818 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316663818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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