Organization
AFTON CORDOBA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AFTON CORDOBA LPC (OWNER)
(469) 338-1147
Entity
Organization
Contact information
Practice address
2031 DUNWOOD DR, CROZET, VA 22932-1576
(469) 338-1147
Mailing address
2031 DUNWOOD DR, CROZET, VA 22932-1576
(469) 338-1147
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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