Organization
CAVALIER CONGREGATE CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA-CARMEN DEL TORO (DIRECTOR OF OPERATIONS)
(434) 293-5984
Entity
Organization
Contact information
Practice address
631 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5235
(434) 906-4565
Mailing address
631 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5235
(434) 906-4565
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1183-001
VA
Other
Enumeration date
10/17/2009
Last updated
10/17/2009
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