MEDICARE: ARROWWOOD ADDICTION TREATMENT CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	3245S0500X	Children's Substance Abuse Rehabilitation Facility
5	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1518733138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROWWOOD ADDICTION TREATMENT CENTER LLC

Provider Business Mailing Address
First Line	:	5305 PLAZA DR
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5305 PLAZA DR
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7320
Country	:	US
Telephone Number	:	502-439-2248
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	BRIAN THORNSBERRY
Credential	:
Telephone Number	:	502-439-2248

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	11/25/2024

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