| Shenandoah Family Institute, Inc. | |
|
124 Amherst St Winchester VA 22601-4114 | |
| (540) 667-6272 | |
| (540) 542-0406 |
| Full Name | Shenandoah Family Institute, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 Amherst St, Winchester, Virginia |
| Authorized Official Name and Position | J Daniel Petruso (PRESIDENT) |
| Authorized Official Contact | 5406676272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Family Institute, Inc. 124 Amherst St Winchester VA 22601-4114 Ph: (540) 667-6272 | Shenandoah Family Institute, Inc. 124 Amherst St Winchester VA 22601-4114 Ph: (540) 667-6272 |
| NPI Number | 1952527095 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952527095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904000087 (Virginia) | Primary |
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