| Leary Educational Foundatin, Inc | |
|
1463 New Hope Rd Cross Junction VA 22625-2035 | |
| (540) 888-3456 | |
| Not Available |
| Full Name | Leary Educational Foundatin, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1463 New Hope Rd, Cross Junction, Virginia |
| Authorized Official Name and Position | John Lamanna (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5408883456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leary Educational Foundatin, Inc Po Box 3160 Winchester VA 22604-2360 Ph: (540) 888-3456 | Leary Educational Foundatin, Inc 1463 New Hope Rd Cross Junction VA 22625-2035 Ph: (540) 888-3456 |
| NPI Number | 1427327790 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427327790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 493-05-001 (Virginia) | Primary |
Shenandoah Valley Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Lakeview Dr, Cross Junction, VA 22625 Phone: 757-553-0798 |