| River Crossing Recovery Center Llc | |
|
156 Strawberry Plains Rd Ste A Williamsburg VA 23188-3409 | |
| (757) 645-0811 | |
| (877) 600-8393 |
| Full Name | River Crossing Recovery Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 156 Strawberry Plains Rd Ste A, Williamsburg, Virginia |
| Authorized Official Name and Position | Lisa I Lewis (OWNER) |
| Authorized Official Contact | 7576450811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Crossing Recovery Center Llc 156 Strawberry Plains Rd Ste A Williamsburg VA 23188-3409 Ph: (757) 645-0811 | River Crossing Recovery Center Llc 156 Strawberry Plains Rd Ste A Williamsburg VA 23188-3409 Ph: (757) 645-0811 |
| NPI Number | 1346866449 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 4587083845 |
|---|---|
| Medicare Enrollment ID | O20201006001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346866449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Irene Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811445240 PECOS PAC ID: 3072890516 Enrollment ID: I20170510000644 |
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