Organization
SOBRIUS AT BASSETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ALLAN FULLAWAY (CFO, SOBRIUS)
(503) 329-6687
Entity
Organization
Contact information
Practice address
9850 VIRGINIA AVE, BASSETT, VA 24055-5909
(276) 336-4331
Mailing address
506 CLIFFVIEW RD, GALAX, VA 24333-5084
(276) 601-2736
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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