Organization
BLUE RIDGE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GILMAN (EXECUTIVE DIRECTOR)
(434) 316-9112
Entity
Organization
Contact information
Practice address
828 MAIN ST, SUITE 1103, LYNCHBURG, VA 24504-1500
(434) 316-9112
(434) 316-9244
Mailing address
PO BOX 1159, FOREST, VA 24551-5159
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1226
VA
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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