Jordan River Support Services

NPI #1194211599 in Lynchburg, Virginia

Provider Information

NPI Number
1194211599
Entity Type
Organization
Organization Name
Jordan River Support Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 9, 2018
Last Updated
Jul 9, 2018

Practice Location

Address
2616 LANGHORNE RD STE 1
ZIP Code
24501-1600
Phone
(434) 250-5943

Authorized Official

Name
MR. CHRISTOPHER DESHAY CARTER
Title
CEO
Phone
(434) 250-5943

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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