Organization
SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ENGELHORN (EXECUTIVE DIRECTOR)
(434) 572-6916
Entity
Organization
Contact information
Practice address
51 POPLAR CREEK ST, SOUTH BOSTON, VA 24592-5346
(434) 575-7707
(434) 575-7723
Mailing address
PO BOX 1478, CLARKSVILLE, VA 23927-1478
(434) 570-1524
(434) 374-3221
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
03/02/2021
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