Phases Family Services

NPI #1063190361 in Courtland, Virginia

Provider Information

NPI Number
1063190361
Entity Type
Organization
Organization Name
Phases Family Services
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 6, 2023
Last Updated
Jul 6, 2023

Practice Location

Address
27037 FLAGGY RUN RD
ZIP Code
23837-2518
Phone
(757) 376-0149

Authorized Official

Name
MRS. ETHEL WILLIAMSON RIDDICK-MAYO, QMHP
Title
OWNER
Phone
(757) 376-0149

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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