VIRTUE RECOVERY CENTER NPI 1801526280

NPI Information

NPI: 1801526280
Provider Name: VIRTUE RECOVERY CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2264889

Address:
5200 S W S YOUNG DR
KILLEEN, TX
ZIP 76542
Phone: (818) 928-0025
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VIRTUE RECOVERY CENTER is a multi-specialty clinic center in Killeen, TX. VIRTUE RECOVERY CENTER NPI is 1801526280. The provider is registered as an organization entity type.

The provider's business location address is:

5200 S W S YOUNG DR
KILLEEN, TX
ZIP 76542-381
Phone: (818) 928-0025
Fax: (818) 928-0042

The provider's authorized official is Edgar Ter-hovahannisyan .
The authorized official title is Ceo and has the following contact phone number (323) 327-8800.

The CLIA number assigned to this NPI record is 45D2264889 - other - substance abuse rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 1/16/2024.

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	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QM1300X	Clinic/Center	Multi-Specialty	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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