Organization
SECOND HANDS REENTRY PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTANA M TARPLEY (OWNER/CEO)
(336) 695-8472
Entity
Organization
Contact information
Practice address
4941 U S HIGHWAY 29 STE C, BLAIRS, VA 24527-2328
(336) 695-8472
Mailing address
309 TYLER AVE, DANVILLE, VA 24541-4555
(336) 695-8472
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/15/2024
Last updated
01/29/2025
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