Organization
CAVERY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY MICHELLE HARSHBERGER FNP-C (OWNER)
(910) 528-0517
Entity
Organization
Contact information
Practice address
14610 SULKY RUN CT, NOKESVILLE, VA 20181-2953
(910) 528-0517
Mailing address
14610 SULKY RUN CT, NOKESVILLE, VA 20181-2953
(910) 528-0517
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750665196
FNP
VA
Enumeration date
02/20/2019
Last updated
02/20/2019
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