Healthcare Provider Details

I. General information

NPI: 1205259801
Provider Name (Legal Business Name): ARS OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 FRONT ROYAL PIKE
WINCHESTER VA
22602-7313
US

IV. Provider business mailing address

210 FRONT ROYAL PIKE
WINCHESTER VA
22602-7313
US

V. Phone/Fax

Practice location:
  • Phone: 540-662-2202
  • Fax: 540-662-7660
Mailing address:
  • Phone: 540-662-2202
  • Fax: 540-662-7660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE KING
Title or Position: COO
Credential:
Phone: 484-731-2500