Organization
RACSB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD W BRANSCOME (EXECUTIVE DIRECTOR)
(540) 373-3223
Entity
Organization
Contact information
Practice address
7424 BROCK RD, SPOTSYLVANIA, VA 22553-2002
(540) 582-3980
Mailing address
7424 BROCK RD, PO BOX 277, SPOTSYLVANIA, VA 22553-2002
(540) 582-3980
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701004392
VA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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