Organization
TRANSFORMATIVE WELLNESS VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG EGER (CEO)
(702) 902-0497
Entity
Organization
Contact information
Practice address
300 GATEWAY CENTRE PKWY, NORTH CHESTERFIELD, VA 23235-5139
(804) 915-9403
Mailing address
300 GATEWAY CENTRE PKWY, NORTH CHESTERFIELD, VA 23235-5139
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/30/2024
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