| Cross Keys Equine Therapy | |
|
6107 Horse Farm Ln Port Republic VA 24471-2634 | |
| (540) 607-6910 | |
| Not Available |
| Full Name | Cross Keys Equine Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6107 Horse Farm Ln, Port Republic, Virginia |
| Authorized Official Name and Position | Austin Canale Mikolin (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5402800243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Keys Equine Therapy 6107 Horse Farm Ln Port Republic VA 24471-2634 Ph: (540) 607-6910 | Cross Keys Equine Therapy 6107 Horse Farm Ln Port Republic VA 24471-2634 Ph: (540) 607-6910 |
| NPI Number | 1760828545 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760828545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |