Organization
REAVES-DIGGS, PARHAM & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH TRACCINNIEA REAVES (DIRECTOR)
(434) 237-5005
Entity
Organization
Contact information
Practice address
147 MILL RIDGE RD STE 203, LYNCHBURG, VA 24502-4341
(434) 237-5005
(434) 237-5535
Mailing address
PO BOX 2513, LYNCHBURG, VIRGINIA BCH, VA 23450-2513
(434) 237-5005
(434) 237-5535
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-04-47
VA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SS-381/4271-08
VA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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