Healthcare Provider Details

I. General information

NPI: 1720840952
Provider Name (Legal Business Name): NEXT FRONTIER RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9003 QUIOCCASIN RD
HENRICO VA
23229-5536
US

IV. Provider business mailing address

PO BOX 70404
HENRICO VA
23255-0404
US

V. Phone/Fax

Practice location:
  • Phone: 804-690-2204
  • Fax:
Mailing address:
  • Phone: 804-690-2204
  • 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: DAVID ROOK
Title or Position: OWNER
Credential:
Phone: 804-690-2204