Afton Cordoba LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Crozet, VA. Organization (NPI-2).
NPI number1033875083
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1033875083
- Entity type
- Organization (NPI-2)
- Legal business name
- Afton Cordoba LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2021
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2031 Dunwood DrCrozet, VA 22932-1576
Phone 469-338-1147
Mailing address
2031 Dunwood DrCrozet, VA 22932-1576
Phone 469-338-1147
Authorized official
Afton Cordoba
Owner
4693381147
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