Organization
NEW ROADS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE COLLINS (VICE PRESIDENT - ADMINISTRATOR)
(276) 395-3925
Entity
Organization
Contact information
Practice address
12112 DRIFFIELD DRIVE, COEBURN, VA 24230
(276) 395-3925
(276) 395-5003
Mailing address
PO BOX 1157, COEBURN, VA 24230-1157
(276) 395-3925
(276) 395-5003
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
45101001
VA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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