Organization
SMART IOP LLC
Active
Other names
Smart IOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WOODROW CABANISS JR. (OWNER/EXECUTIVE DIRECTOR)
(804) 869-9721
Entity
Organization
Contact information
Practice address
8505 BELL CREEK RD, BUILDING 'K', MECHANICSVILLE, VA 23116-3829
(804) 869-9725
Mailing address
8505 BELL CREEK RD, BUILDING 'K', MECHANICSVILLE, VA 23116-3829
(804) 869-9725
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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