Organization
NEW ROOTS TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
210 W NINE MILE RD, HIGHLAND SPRINGS, VA 23075-1350
(804) 551-8302
(804) 616-4845
Mailing address
PO BOX 50451, RICHMOND, VA 23250-0451
(804) 551-8302
(804) 616-4845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/20/2023
Last updated
05/31/2024
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