Milestone House, LLC

NPI #1447481437 in N Tazewell, Virginia

Provider Information

NPI Number
1447481437
Entity Type
Organization
Organization Name
Milestone House, LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 7, 2009
Last Updated
Aug 7, 2009

Practice Location

Address
30552 GOVERNOR G C PEERY HWY
ZIP Code
24630-8339
Phone
(276) 988-0872

Authorized Official

Name
MS. LOVONNE RAYNE VANCE, MS, NCC
Title
EXECUTIVE DIRECTOR
Phone
(276) 988-0872

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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