Organization
JUBILEE BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STERLING ALLEN WILDER M.ED (CEO)
(434) 444-0558
Entity
Organization
Contact information
Practice address
1512 FLORIDA AVE, LYNCHBURG, VA 24501-4112
(434) 845-0433
(434) 845-4740
Mailing address
1512 FLORIDA AVE, LYNCHBURG, VA 24501-4112
(434) 845-0433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1886
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886
—
VA
Enumeration date
03/18/2013
Last updated
03/26/2013
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