Organization
JORDAN RIVER SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DESHAY CARTER (CEO)
(434) 250-5943
Entity
Organization
Contact information
Practice address
2616 LANGHORNE RD STE 1, LYNCHBURG, VA 24501-1600
(434) 250-5943
(434) 439-2933
Mailing address
2616 LANGHORNE RD STE 1, LYNCHBURG, VA 24501-1600
(434) 250-5943
(434) 439-2933
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2864-03-001
VA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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