Organization
GLOECKNER WEBER, LLC
Active
Other names
STARS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT CATO (CFO)
(434) 970-1904
Entity
Organization
Contact information
Practice address
517 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 970-1904
Mailing address
536 PANTOPS CTR, PMB 338, CHARLOTTESVILLE, VA 22911-8665
(434) 970-1904
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
SS-203-05
VA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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