Organization
CLINCH VALLEY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MARIE PHIPPS B.S. (SUBSTANCE ABUSE COUNSELOR)
(276) 963-3554
Entity
Organization
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Mailing address
111 TOWN HOLLOW RD, CEDAR BLUFF, CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LVN-164 X00000X
VA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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