NPI 1922395748
Jefferson Trail Treatment Center for Children
Practice location
- Address
- 2101 Arlington Blvd, Charlottesville, VA 22903-1521
- Phone
- (615) 250-0283
- Fax
- (615) 250-0000
- Mailing address
- 110 Westwood Pl Suite 100, Brentwood, TN 37027-5075
Authorised official
- Name
- Vicki Tench
- Title
- Business Office Director
- Phone
- (615) 250-0283
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1922395748
- Entity type
- Organization
- NPI issued
- 30 Jun 2011
- Record last updated
- 30 Jun 2011
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.