Organization
MIAHS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BROWN (RESIDENTIAL SUPERVISOR)
(804) 221-2571
Entity
Organization
Contact information
Practice address
85 JOGGERS TRL, CUMBERLAND, VA 23040-2610
(804) 221-2571
Mailing address
85 JOGGERS TRL, CUMBERLAND, VA 23040-2610
(804) 221-2571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
982
VA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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