| NPI | 1811053341 |
|---|---|
| Doing Business As | VIRGINIA'S PLACE |
| Entity Type | Organization |
| Authorized Contact | CRISTI LYNN BLALOCK Director Of Contracting/ Compliance 423-467-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-06-05 |