Organization
RECOVERY 180 VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MOUNTAIN (DIRECTOR OF COMPLIANCE)
(443) 204-5800
Entity
Organization
Contact information
Practice address
6791 JAMES MADISON HWY, WARRENTON, VA 20187-9534
(443) 289-8606
Mailing address
1100 BUSINESS PKWY S STE 1, WESTMINSTER, MD 21157-3048
(443) 204-5800
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378386
CARF ACCREDITATION
VA
01
—
8228-01-045
VA STATE LICENSURE
VA
Enumeration date
11/22/2023
Last updated
01/30/2024
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