NPI 1629172838

Centra Health INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lynchburg, VA

Practice location

Address: 693 Leesville Rd, Lynchburg, VA 24502
Phone: (434) 947-3777
Fax: (434) 947-4763
Mailing address: PO Box 2496, Lynchburg, VA 24505

Authorised official

Name: Lewis C Addison
Title: Srvp/Cfo
Phone: (434) 947-4708

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 05214001 (VA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Virginia →

Registry record

NPI: 1629172838
Entity type: Organization
NPI issued: 8 Sep 2006
Record last updated: 22 Aug 2020

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.