Provider Demographics
NPI:1275025694
Name:STRATEGIC HEALTHCARE OF VIRGINIA, INCORPORATED
Entity Type:Organization
Organization Name:STRATEGIC HEALTHCARE OF VIRGINIA, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-452-6075
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:VA
Mailing Address - Zip Code:24243-0391
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:468 DRYDEN LOOP
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:VA
Practice Address - Zip Code:24243
Practice Address - Country:US
Practice Address - Phone:252-452-6075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility