Centra Health INC
NPI #1740384957 in Madison Heights, Virginia
Provider Information
- NPI Number
- 1740384957
- Entity Type
- Organization
- Organization Name
- Centra Health INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 1410 KENTMOOR FARM RD
- City
- Madison Heights
- State
- Virginia
- ZIP Code
- 24572
- Phone
- (434) 947-3777
Authorized Official
- Name
- LEWIS C ADDISON
- Title
- SRVP/CFO
- Phone
- (434) 947-4708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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| Hallmark Youthcare Richmond | |
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