Organization
WILLIAMSVILLE WELLNESS LLC
Active
Other names
Williamsville Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M JUDD (C.O.O.)
(804) 559-9959
Entity
Organization
Contact information
Practice address
10515 CABANISS LN, HANOVER, VA 23069-1840
(804) 559-9959
(804) 559-9613
Mailing address
10515 CABANISS LN, HANOVER, VA 23069-1840
(804) 559-9959
(804) 559-9613
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
994
VA
Other
Enumeration date
10/06/2008
Last updated
10/05/2020
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