| NPI | 1326682980 |
|---|---|
| Doing Business As | CENTRA MEDICAL GROUP ADDICTION TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEAL VP Revenue Cycle 434-200-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |