Organization
CALYX RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEB BIRD MS, LAC (CEO)
(610) 334-5216
Entity
Organization
Contact information
Practice address
681 HIOAKS RD, RICHMOND, VA 23225-4043
(504) 722-9996
Mailing address
681 HIOAKS RD, RICHMOND, VA 23225-4043
(504) 722-9996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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