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Organization

GRAFTON SCHOOL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA LANE (DIRECTOR, CYCLE MNGT./ACCOUNTS RECE)
(540) 542-0200
Entity
Organization

Contact information

Practice address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
(540) 542-0218
Mailing address
120 BELLVIEW AVE, WINCHESTER, VA 22601-3142
(540) 542-0200
(540) 542-0218

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
425
WV
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary
232
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945859
VA
05
010002290
VA
Enumeration date
11/08/2006
Last updated
09/20/2017
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