Healthcare Provider Details

I. General information

NPI: 1427327790
Provider Name (Legal Business Name): LEARY EDUCATIONAL FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1463 NEW HOPE RD
CROSS JUNCTION VA
22625-2035
US

IV. Provider business mailing address

PO BOX 3160
WINCHESTER VA
22604-2360
US

V. Phone/Fax

Practice location:
  • Phone: 540-888-3456
  • Fax:
Mailing address:
  • Phone: 540-888-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DEREK UNGER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 540-888-3456