Chesterfield Community Services Board - Icf Pine Forest
NPI #1033397542 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1033397542
- Entity Type
- Organization
- Organization Name
- Chesterfield Community Services Board - Icf Pine Forest
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Sep 15, 2020
Practice Location
- Address
- 6801 LUCY CORR CT
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-6657
- Phone
- (804) 748-1227
Authorized Official
- Name
- MS. KELLY FRIED
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 768-7227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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