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Organization
COMMUNITY ALTERNATIVES VIRGINIA, INC.
Active
Organization
COMMUNITY ALTERNATIVES VIRGINIA, INC.
Active
Other names
Creative Family Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
180 TEEL ST, CHRISTIANSBURG, VA 24073-2564
(540) 381-3940
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2622-03-01
MENTAL HEALTH COMMUNITY SUPPORTS
VA
01
—
2622-03-011
DBHDS RESIDENTIAL SUPPORT
VA
01
—
2622-07-003
MENTAL HEALTH OUTPATIENT
VA
Enumeration date
11/21/2014
Last updated
11/21/2014
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