Provider Demographics
NPI:1770339848
Name:ANCHOR FAMILY & PREVENTION INC.
Entity type:Organization
Organization Name:ANCHOR FAMILY & PREVENTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:276-403-4719
Mailing Address - Street 1:313 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-3803
Mailing Address - Country:US
Mailing Address - Phone:276-634-2910
Mailing Address - Fax:276-634-5375
Practice Address - Street 1:313 E MARKET ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-3803
Practice Address - Country:US
Practice Address - Phone:276-634-2910
Practice Address - Fax:276-634-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health