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Organization

BLUE RIDGE BEHAVIORAL HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM STELLER (EXECUTIVE DIRECTOR)
(540) 345-9841
Entity
Organization

Contact information

Practice address
302 2ND ST SW FL 2, ROANOKE, VA 24011-1514
(540) 345-6781
(540) 344-3578
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-6781
(540) 344-3578

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904006919
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437137734
VA
Enumeration date
04/28/2009
Last updated
04/28/2009
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