Organization Name: | CLINCH VALLEY TREATMENT CENTER |
NPI Number: | 1992927537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN DENISE PRUITT (SUBSTANCE ABUSE COUNSELOR) |
Mailing Address: | 111 Town Hollow Road Cedar Bluff |
State: | VA US |
Postal Code: | 24609 |
Phone Number: | 2769633554 |
Fax Number: | 2769634653 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | LVN-164X00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |