Camelot of Virginia, LLC
NPI #1467648972 in Wytheville, Virginia
Provider Information
- NPI Number
- 1467648972
- Entity Type
- Organization
- Organization Name
- Camelot of Virginia, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Sep 18, 2007
Practice Location
- Address
- 290 E MONROE ST
- City
- Wytheville
- State
- Virginia
- ZIP Code
- 24382-2336
- Phone
- (276) 228-7100
Authorized Official
- Name
- GRAYSON HARCOURT
- Title
- BUSINESS OFFICE DIRECTOR
- Phone
- (512) 858-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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