Organization
ACTIVE LIVING LLC
Active
Other names
Behavioral Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL E JONES JR. NCC, QMHP (PBS FACILITATOR)
(434) 882-3258
Entity
Organization
Contact information
Practice address
424 KIRBY AVE, WAYNESBORO, VA 22980-3189
(434) 882-3258
(888) 497-6161
Mailing address
PO BOX 492, WAYNESBORO, VA 22980-0364
(434) 882-3258
(888) 497-6161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
174
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174
PARTNERSHIP FOR PEOPLE WITH DISABILITIES VIRGINIA COMMONWEALTH UNIVERSITY
VA
Enumeration date
05/10/2012
Last updated
05/10/2012
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