institution
Provenance Substance Abuse & Wellness Centers Llc
Substance Use Disorder Rehabilitation Clinic/Center in Glen Allen, Virginia
NPI 1649976945

Provenance Substance Abuse & Wellness Centers Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Glen Allen, VA and is specialized in Rehabilitation, Substance Use Disorder. Provenance Substance Abuse & Wellness Centers Llc practices in Glen Allen, VA. The NPI Number for Provenance Substance Abuse & Wellness Centers Llc is 1649976945 and holds a License No. (Virginia).

The current practice location address for Provenance Substance Abuse & Wellness Centers Llc is 4870 Sadler Rd Pmb #8903, Glen Allen, VA and can be reached out via phone at 480-980-2749.

Location: 4870 Sadler Rd Pmb #8903, Glen Allen, VA, 23060
institution
Provider Profile Details
NPI Number
1649976945
Provider Name
Provenance Substance Abuse & Wellness Centers Llc
Credential
Provider Entity Type
Organization
Address
4870 Sadler Rd Pmb #8903, Glen Allen, VA, 23060
Phone Number
480-980-2749
Fax Number
Provider Enumeration Date
02/07/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4870 Sadler Rd Pmb #8903
City
State
Zip
23060
Phone Number
480-980-2749
Fax Number
person
Provider Business Mailing Address Details
Address
4870 Sadler Rd Pmb #8903
City
State
Zip
23060
Phone Number
480-980-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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