Organization
MOMENTUM RECOVERY VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M BOGGS (AUTHORIZED AGENT)
(304) 972-8383
Entity
Organization
Contact information
Practice address
230 CHIP MILL ROAD, CLINTWOOD, VA 24228
(727) 666-4838
Mailing address
1935 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-1645
(727) 666-4838
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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