Organization
BOX ELDER BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA MAURNO M.S. (OWNER, BUSINESS MANAGER)
(757) 274-7527
Entity
Organization
Contact information
Practice address
254 RAINBOW RIDGE, BUMPASS, VA 23024-4856
(757) 274-7527
Mailing address
254 RAINBOW RIDGE, BUMPASS, VA 23024-4856
(757) 274-7527
(757) 530-5196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0701004212
VA
Other
Enumeration date
09/02/2018
Last updated
05/20/2026
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