ORCHARD MOUNTAIN RECOVERY LLC NPI 1073063202

NPI Information

NPI: 1073063202
Provider Name: ORCHARD MOUNTAIN RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
355 RIO RD W STE 203
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 282-2294
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ORCHARD MOUNTAIN RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Charlottesville, VA. ORCHARD MOUNTAIN RECOVERY LLC NPI is 1073063202. The provider is registered as an organization entity type.

The provider's business location address is:

355 RIO RD W STE 203
CHARLOTTESVILLE, VA
ZIP 22901-361
Phone: (434) 282-2294
Fax: (434) 282-2644

The provider's authorized official is Randall William Luster .
The authorized official title is Coo and has the following contact phone number (434) 282-2294.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2877-02-001	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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