Provider Demographics
NPI:1922243443
Name:FOCUS OF CHARLOTTESVILLE-ALBEMARLE
Entity Type:Organization
Organization Name:FOCUS OF CHARLOTTESVILLE-ALBEMARLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING & CAREER SVC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:ELIASON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-293-2222
Mailing Address - Street 1:953 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-6172
Mailing Address - Country:US
Mailing Address - Phone:434-293-2222
Mailing Address - Fax:434-984-0249
Practice Address - Street 1:953 2ND ST SE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-6172
Practice Address - Country:US
Practice Address - Phone:434-293-2222
Practice Address - Fax:434-984-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
VA0701003721251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management