Organization
BLUE RIDGE BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S. SIKKEMA LCSW (DIRECTOR)
(540) 345-9841
Entity
Organization
Contact information
Practice address
2708 LIBERTY RD NW, ROANOKE, VA 24012-4745
(540) 344-4042
(540) 344-1958
Mailing address
2708 LIBERTY RD NW, ROANOKE, VA 24012-4745
(540) 344-4042
(540) 344-1958
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0904004852
VA
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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