Healthcare Provider Details

I. General information

NPI: 1568424364
Provider Name (Legal Business Name): RAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 HOSPITAL DR
WARRENTON VA
20186-3006
US

IV. Provider business mailing address

PO BOX 1568
CULPEPER VA
22701-6568
US

V. Phone/Fax

Practice location:
  • Phone: 540-347-7620
  • Fax: 540-349-0644
Mailing address:
  • Phone: 540-825-3100
  • Fax: 540-829-5440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number16907004
License Number StateVA

VIII. Authorized Official

Name: MR. JAMES LAGRAFFE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 540-825-3100