Organization
HORIZON BEHAVIORAL HEALTH
Active
Other names
Altavista ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY VAUGHAN (REIMBURSEMENT MANAGER)
(434) 485-8861
Entity
Organization
Contact information
Practice address
101 AVOCA LN, ALTAVISTA, VA 24517-1154
(434) 369-7187
(434) 369-4149
Mailing address
620 COURT ST, FIFTH FLOOR, LYNCHBURG, VA 24504-1312
(434) 485-8861
(434) 485-8877
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
VA
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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