Adolescent Behavior Services Llc.
NPI #1053985150 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1053985150
- Entity Type
- Organization
- Organization Name
- Adolescent Behavior Services Llc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 14, 2021
- Last Updated
- May 14, 2021
Practice Location
- Address
- 4036 WEST TER
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-8380
- Phone
- (804) 335-7549
Authorized Official
- Name
- MR. KENNETH RAY HENDERSON I, M.ED QMHP-A/C
- Title
- CEO
- Phone
- (804) 335-7457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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