Organization
TEKOA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G SISK JR. (EXECUTIVE DIRECTOR)
(540) 382-2002
Entity
Organization
Contact information
Practice address
448 DEPOT ST NE, CHRISTIANSBURG, VA 24073-2050
(540) 260-3430
(540) 260-3431
Mailing address
930 CAMBRIA STREET, CHRISTIANSBURG, VA 24073
(540) 382-2002
(540) 382-1935
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-274-06
VA
Other
Enumeration date
10/25/2006
Last updated
07/21/2022
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