District 19 Community Service Board

NPI #1124347885 in Hopewell, Virginia

Provider Information

NPI Number
1124347885
Entity Type
Organization
Organization Name
District 19 Community Service Board
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
May 20, 2010
Last Updated
May 20, 2010

Practice Location

Address
1308 LEMONWOOD DR
ZIP Code
23860-7619
Phone
(804) 541-1829

Authorized Official

Name
MRS. ELEANOR WILKINS YATES
Title
LPN
Phone
(804) 541-1829

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Psychiatric Residential Treatment Facility

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