Whalio Doctors

NPI 1033434279

Ragged Mountain Home, LLC

Organisation Psychiatric Residential Treatment Facility Charlottesville, VA

Practice location

Address
1176 Reservoir Rd, Charlottesville, VA 22903-7761
Phone
(434) 293-7641
Fax
(434) 293-8404

Authorised official

Name
Eugene Joseph Conti
Title
Owner
Phone
(434) 293-7641

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 472-14-001 (VA)
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence 472-14-001 (VA)

Registry record

NPI
1033434279
Entity type
Organization
NPI issued
31 Mar 2010
Record last updated
31 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.