Organization
AWARE RECOVERY CARE OF VIRGINIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BENCE (VP REVENUE CYCLE MANAGEMENT)
(203) 721-6522
Entity
Organization
Contact information
Practice address
4405 COX RD, GLEN ALLEN, VA 23060-3395
(203) 779-5799
Mailing address
35 THORPE AVE STE 104, WALLINGFORD, CT 06492-1948
(203) 779-5799
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/27/2021
Last updated
01/21/2025
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