Provider Demographics
NPI:1700081197
Name:NEW RIVER COMMUNITY ACTION
Entity Type:Organization
Organization Name:NEW RIVER COMMUNITY ACTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMUSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-633-5133
Mailing Address - Street 1:644 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-1591
Mailing Address - Country:US
Mailing Address - Phone:540-633-5133
Mailing Address - Fax:540-633-2585
Practice Address - Street 1:644 W MAIN ST
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-1591
Practice Address - Country:US
Practice Address - Phone:540-633-5133
Practice Address - Fax:540-633-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management