NPI 1922610088

Eagle Phoenix Residential & Behavorial Health Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Danville, VA

Practice location

Address: 1345 N Main St, Danville, VA 24540-3721
Phone: (434) 429-2649

Authorised official

Name: Monica Lotoria Ballou
Title: Ceo/Owner
Phone: (434) 429-2649

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1922610088
Entity type: Organization
NPI issued: 20 Aug 2020
Record last updated: 20 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.