Organization
BLUE RIDGE BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA J. VAUGHT (REIMBURSEMENT MANAGER)
(540) 345-9841
Entity
Organization
Contact information
Practice address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945263
—
VA
Enumeration date
01/06/2006
Last updated
01/12/2015
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