Camelot Of Virginia, Llc

NPI 1083800593 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1083800593
Enumeration Date 09/18/2007
Last Updated 09/18/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GRAYSON GRAYSON
Position BUSINESS OFFICE DIRECTOR
Phone (540) 345-4533
Fax
Practice Location
1729 PATTERSON AVE SW
ROANOKE VA, 24016-3105, US
Phone (540) 345-4533
Fax
Business Location
4207 E HIGHWAY 290
DRIPPING SPRINGS TX, 78620-4206, US
Phone (512) 858-9900
Fax
Toxanomy
Taxonomy Code 320800000X
License State
License Number
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According to our database, Camelot Of Virginia, Llc NPI is 1083800593, taxonomy code is 320800000X Camelot Of Virginia, Llc physically located at 1729 Patterson Ave Sw, Roanoke VA, 24016-3105. NPI Number 1033115704 has the healthcare provider type.

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1083800593 NPI number is provided on an as is basis without warranty of any kind. 1083800593 is maintained by the National Plan & Provider Enumeration System. The contents of Camelot Of Virginia, Llc are for informational purposes only.