Organization
BLUE RIDGE ADDICTION RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS DEVIRGILIIS M.D. (MEDICAL DIRECTOR)
(828) 263-8228
Entity
Organization
Contact information
Practice address
381 DEERFIELD RD, SUITE C, BOONE, NC 28607-5009
(828) 263-8228
(828) 263-8228
Mailing address
381 DEERFIELD RD, SUITE C, BOONE, NC 28607-5009
(828) 263-8228
(828) 263-8228
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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