| Austin-miller Residential | |
|
3563 Brymoor Rd Sw Roanoke VA 24018-2103 | |
| (540) 793-2076 | |
| (540) 387-0406 |
| Full Name | Austin-miller Residential |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3563 Brymoor Rd Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Kirby Campbell (OWNER) |
| Authorized Official Contact | 5405562292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin-miller Residential 3563 Brymoor Rd Sw Roanoke VA 24018-2103 Ph: (540) 793-2076 | Austin-miller Residential 3563 Brymoor Rd Sw Roanoke VA 24018-2103 Ph: (540) 793-2076 |
| NPI Number | 1659523785 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659523785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 711-03-001 (Virginia) | Primary |
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