Phoenix Star Clubhouse

LBN: Brain Injury Resource & Development Center, Inc.
Phoenix Star Clubhouse is an health care organization with primary practice located at 923 14Th St Se , Roanoke VA 24013-2001. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Brain Injury Resource & Development Center, Inc. can be contacted via phone (540) 761-5424, or through Thornton, Juanita via phone (540) 761-5424.

Contact Information

Primary practice address
923 14Th St Se Roanoke VA 24013-2001
Phone: (540) 761-5424
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thornton, Juanita MSW
Phone: (540) 761-5424

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1700111002
LBN Legal business name Brain Injury Resource & Development Center, Inc.
DBA Doing business as Phoenix Star Clubhouse
Authorized official Thornton, Juanita MSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2009
Last updated Oct 5th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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