Jefferson Trail Treatment Center For Children
LBN: Jefferson Trail Treatment Center For Children
Jefferson Trail Treatment Center For Children is an health care organization with primary practice located at 2101 Arlington Blvd , Charlottesville VA 22903-1521. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty.
Jefferson Trail Treatment Center For Children can be contacted via phone (615) 250-0283, or through Tench, Vicki via phone (615) 250-0283.
Contact Information
Primary practice address
2101 Arlington Blvd
Charlottesville VA 22903-1521
Phone: (615) 250-0283
Fax: (615) 250-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 63014001 | Virginia |
Profile Details
| NPI number | 1922395748 |
|---|---|
| LBN Legal business name | Jefferson Trail Treatment Center For Children |
| DBA Doing business as | |
| Authorized official | Tench, Vicki BOD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Jun 30th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922395748 | NPPES |
| Virginia | MEDICAID | 000207306 |
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