BLUE RIDGE ADDICTION RECOVERY NPI 1356593420

NPI Information

NPI: 1356593420
Provider Name: BLUE RIDGE ADDICTION RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
381 DEERFIELD RD
SUITE C
BOONE, NC
ZIP 28607
Phone: (828) 263-8228
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BLUE RIDGE ADDICTION RECOVERY is a rehabilitation and substance use disorder clinic center in Boone, NC. BLUE RIDGE ADDICTION RECOVERY NPI is 1356593420. The provider is registered as an organization entity type.

The provider's business location address is:

381 DEERFIELD RD
SUITE C
BOONE, NC
ZIP 28607-009
Phone: (828) 263-8228
Fax: (828) 263-8228

The provider's authorized official is Juan Carlos Devirgiliis .
The authorized official title is Medical Director and has the following contact phone number (828) 263-8228.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 10/21/2008.

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			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: 5/5/2024

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