Organization
CENTRACARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON C HINDS (OWNER)
(434) 258-7058
Entity
Organization
Contact information
Practice address
944 RANDOLPH LN, LYNCHBURG, VA 24502-1525
(434) 258-7058
(434) 384-5105
Mailing address
944 RANDOLPH LN, LYNCHBURG, VA 24502-1525
(434) 258-7058
(434) 384-5105
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1248-01-001
VA
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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