Organization
ELK HILL FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C FARLEY MS (EXECUTIVE DIRECTOR)
(804) 457-4866
Entity
Organization
Contact information
Practice address
1975 ELK HILL ROAD, GOOCHLAND, VA 23063
(804) 457-4866
(804) 457-2830
Mailing address
PO BOX 99, GOOCHLAND, VA 23063-0099
(804) 457-4866
(804) 457-2830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS19405
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SS25005
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SS38007
VA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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