OrganizationActive
Patrick Henry House LLC
NPI 1801757562 · Substance Abuse Rehabilitation Facility · Jetersville, VA
Provider details
- NPI number
- 1801757562
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marissa Williams, Director(804) 999-7441
Specialties & taxonomies
Residential Treatment Facilities
Practice location
22840 Patrick Henry Hwy
Jetersville, VA 23083-2803
Phone: (410) 353-8724
Approximate (ZIP-level) locationGet directions
Mailing address
22840 Patrick Henry Hwy
Jetersville, VA 23083-2803
Registry dates
- Enumerated
- 2025-11-21
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.