Commonwealth Day Support
NPI #1003342445 in Petersburg, Virginia
Provider Information
- NPI Number
- 1003342445
- Entity Type
- Organization
- Organization Name
- Commonwealth Day Support
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 4, 2017
- Last Updated
- May 4, 2017
Practice Location
- Address
- 500 S SYCAMORE ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-5046
- Phone
- (804) 908-4635
Authorized Official
- Name
- GERRY RAWLINSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 908-4635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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