| Organization Name: | NEW RIVER BEHAVIORAL HEALTH AND ASSOCIATES,LLC |
| NPI Number: | 1043572886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT ERNEST WALLACE (CEO) |
| Mailing Address: | 175 W Main St Ste 204 Wytheville |
| State: | VA US |
| Postal Code: | 243822374 |
| Phone Number: | 2762230234 |
| Fax Number: | 2762230123 |
| NPI Enumeration Date: | 06/07/2012 |
| NPI Last Update Date: | 06/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |