The Bramblex

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · North, VA

NPI 1639147275 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1639147275
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
THE BRAMBLEX
Practice address
300 Bella Terra Road
North, VA 23128-0126
Phone
(804) 725-3800
Fax
(804) 725-3999
NPI assigned
Mar 9, 2006
Organization subpart
No

Authorized official

Name
Mr. Clyde H Forrest
Title
Owner/Director
Phone
(804) 725-3800

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
New Point Life Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

300 Bella Terra Road
North, VA 23128-0126

Mailing address

PO Box 126
North, VA 23128-0126
Phone (804) 725-3800

Other providers in North, VA

All providers in North, VA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

Sources for this page

Verify at the official NPI Registry.