Whalio Doctors

NPI 1083800593

Camelot of Virginia, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Roanoke, VA

Practice location

Address
1729 Patterson Ave SW, Roanoke, VA 24016-3105
Phone
(540) 345-4533
Mailing address
4207 E Highway 290, Dripping Springs, TX 78620-4206

Authorised official

Name
Grayson Harcourt
Title
Business Office Director
Phone
(512) 858-9900

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1083800593
Entity type
Organization
NPI issued
18 Sep 2007
Record last updated
18 Sep 2007

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.