Southside Behavioral Health - Brandon Home
NPI #1912252958 in South Boston, Virginia
Provider Information
- NPI Number
- 1912252958
- Entity Type
- Organization
- Organization Name
- Southside Behavioral Health - Brandon Home
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jul 16, 2012
- Last Updated
- Mar 2, 2021
Practice Location
- Address
- 51 POPLAR CREEK ST
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-5346
- Phone
- (434) 575-7707
Authorized Official
- Name
- BETH ENGELHORN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (434) 572-6916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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