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Organization

SHENANDOAH FAMILY INSTITUTE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. J DANIEL PETRUSO LCSW (PRESIDENT)
(540) 667-6272
Entity
Organization

Contact information

Practice address
124 AMHERST ST, WINCHESTER, VA 22601-4114
(540) 667-6272
(540) 542-0406
Mailing address
124 AMHERST ST, WINCHESTER, VA 22601-4114
(540) 667-6272
(540) 542-0406

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904000087
VA

Other

Enumeration date
04/17/2007
Last updated
06/18/2008
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