Organization
TRANQUILITY GROVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'COURTNEY SETZER (CLINICAL DIRECTOR)
(828) 244-2622
Entity
Organization
Contact information
Practice address
12433 US HIGHWAY 29, CHATHAM, VA 24531-3464
(828) 244-2622
Mailing address
12433 US HIGHWAY 29, CHATHAM, VA 24531-3464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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