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Organization
NEW RIVER BEHAVIORAL HEALTH AND ASSOCIATES,LLC
Active
Organization
NEW RIVER BEHAVIORAL HEALTH AND ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ERNEST WALLACE MS, QMHP (CEO)
(276) 223-0234
Entity
Organization
Contact information
Practice address
175 W MAIN ST STE 204, WYTHEVILLE, VA 24382-2374
(276) 223-0234
(276) 223-0123
Mailing address
175 W MAIN ST STE 204, WYTHEVILLE, VA 24382-2374
(276) 223-0234
(276) 223-0123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1758
VA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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