Organization
AUSTIN-MILLER RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY CAMPBELL (OWNER)
(540) 556-2292
Entity
Organization
Contact information
Practice address
3563 BRYMOOR RD SW, ROANOKE, VA 24018-2103
(540) 793-2076
(540) 387-0406
Mailing address
3563 BRYMOOR RD SW, ROANOKE, VA 24018-2103
(540) 793-2076
(540) 387-0406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
711-03-001
VA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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