Organization
ENVISION ONE CULTIVATION & ENRICHMENT CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA PARHAM-JONES RN (PRESIDENT/CEO)
(804) 519-6895
Entity
Organization
Contact information
Practice address
9436 MAYES ST STE 8, JARRATT, VA 23867-9108
(804) 519-6895
Mailing address
PO BOX 6, YALE, VA 23897-0006
(804) 519-6895
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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