Organization
ADDICTION ALLIES, LLC
Active
Other names
Addiction Allies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL B JEWELL MD (AUTHORIZED OFFICIAL)
(304) 497-0500
Entity
Organization
Contact information
Practice address
631 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 770-1000
Mailing address
631 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 770-1000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2014
Last updated
01/10/2020
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