Organization
CLINCH VALLEY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN DENISE PRUITT BS (SUBSTANCE ABUSE COUNSELOR)
(276) 963-3554
Entity
Organization
Contact information
Practice address
111 TOWN HOLLOW ROAD, CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Mailing address
111 TOWN HOLLOW ROAD, CEDAR BLUFF, VA 24609
(276) 963-3554
(276) 963-4653
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LVN-164X00000X
VA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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