NPI: 1003225780
Provider Name: ADDICTION ALLIES, LLC
Other Name: ADDICTION ALLIES, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 49D2150957
Address:
631 BERKMAR CIR
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 770-1000
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ADDICTION ALLIES, LLC is a rehabilitation and substance use disorder clinic center in Charlottesville, VA. ADDICTION ALLIES, LLC NPI is 1003225780. The provider is registered as an organization entity type.
The provider Other Name Is Addiction Allies, Llc.
The provider's business location address is:
631 BERKMAR CIR
CHARLOTTESVILLE, VA
ZIP 22901-464
Phone: (434) 770-1000
The provider's authorized official is Noel B Jewell .
The authorized official title is Authorized Official and has the following contact phone number (304) 497-0500.
The CLIA number assigned to this NPI record is 49D2150957 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/7/2014 and was last updated on 1/10/2020.