Organization
AUTISM SANCTUARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CASEY CLARKE (DIRECTOR OF APPLIED PRACTICE)
(434) 989-0581
Entity
Organization
Contact information
Practice address
2860 PEA RIDGE RD, CHARLOTTESVILLE, VA 22901-5123
(434) 989-0581
Mailing address
2860 PEA RIDGE RD, CHARLOTTESVILLE, VA 22901-5123
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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