Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME
Active OrganizationSOUTHSIDE BEHAVIORAL HEALTH - BRANDON HOME is a ICF/Individuals with Intellectual Disabilities organization located in SOUTH BOSTON, Virginia. NPI 1912252958 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1912252958
- Provider Type
- Organization
- NPI Issued
- Jul 16, 2012 (14.121459854423 yrs)
- Last Updated
- Mar 2, 2021
Practice Information
- Address
-
51 POPLAR CREEK STSOUTH BOSTON, VA, 245925346Browse VA providers · Browse ZIP 24592
- Phone
- 4345757707
- Fax
- 4345757723
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.