Provider Demographics
NPI:1639154578
Name:NEW RIVER VALLEY COMMUNITY SERVICES
Entity Type:Organization
Organization Name:NEW RIVER VALLEY COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CHILD AND FAMILY SERVIC
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:540-961-8300
Mailing Address - Street 1:1006 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-5218
Mailing Address - Country:US
Mailing Address - Phone:540-994-5023
Mailing Address - Fax:540-994-5028
Practice Address - Street 1:1006 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-5218
Practice Address - Country:US
Practice Address - Phone:540-994-5023
Practice Address - Fax:540-994-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040056461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty