Healthcare Provider Details

I. General information

NPI: 1801370028
Provider Name (Legal Business Name): ART OF RECOVERY AND LIFE SKILLS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17205 GENITO RD
AMELIA COURT HOUSE VA
23002-4408
US

IV. Provider business mailing address

577 SOUTHLAKE BLVD STE B
NORTH CHESTERFIELD VA
23236-3239
US

V. Phone/Fax

Practice location:
  • Phone: 804-561-0922
  • Fax:
Mailing address:
  • Phone: 804-308-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ALICIA TOLER
Title or Position: CEO
Credential:
Phone: 804-683-2033