Organization
CENTRA MEDICAL GROUP, LLC
Active
Other names
CMG Addiction Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA R T DAVIS (DIRECTOR, REVENUE CYCLE)
(434) 200-6942
Entity
Organization
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4455
(434) 200-4252
Mailing address
1937 THOMSON DR, LYNCHBURG, VA 24501-1008
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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