Organization
COMMUNITY ALTERNATIVES VIRGINIA, INC.
Active
Other names
Creative Family Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
180 TEEL ST, CHRISTIANSBURG, VA 24073-2564
(540) 381-3940
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2622-03-01
MENTAL HEALTH COMMUNITY SUPPORTS
VA
01
—
2622-03-011
DBHDS RESIDENTIAL SUPPORT
VA
01
—
2622-07-003
MENTAL HEALTH OUTPATIENT
VA
Enumeration date
11/21/2014
Last updated
11/21/2014
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