Community Living, INC

NPI #1912197559 in South Hill, Virginia

Provider Information

NPI Number: 1912197559
Entity Type: Organization
Organization Name: Community Living, INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 30, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 314 E ATLANTIC ST
City: South Hill
State: Virginia
ZIP Code: 23970-2006
Phone: (434) 447-8381

Authorized Official

Name: TERI BISTARKEY, LCSW
Title: CLINICAL DIRECTOR
Phone: (434) 447-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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