| Devil Dog Ranch | |
|
4811 Waymacks Rd Charles City VA 23030-2422 | |
| (804) 921-4962 | |
| Not Available |
| Full Name | Devil Dog Ranch |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4811 Waymacks Rd, Charles City, Virginia |
| Authorized Official Name and Position | Tina Silva (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8049214962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devil Dog Ranch 4811 Waymacks Rd Charles City VA 23030-2422 Ph: (804) 921-4962 | Devil Dog Ranch 4811 Waymacks Rd Charles City VA 23030-2422 Ph: (804) 921-4962 |
| NPI Number | 1619797032 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619797032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |