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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