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Organization

A NEW INSPIRATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MITCHELL BROWN (OWNER)
(336) 722-2130
Entity
Organization

Contact information

Practice address
140 LARKSPUR LN, STE B, GALAX, VA 24333-2305
(336) 722-2130
Mailing address
140 LARKSPUR LN, STE B, GALAX, VA 24333-2305
(336) 722-2130

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/26/2010
Last updated
09/26/2010
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