District 19 Community Services Board
NPI #1225094451 in Petersburg, Virginia
Provider Information
- NPI Number
- 1225094451
- Entity Type
- Organization
- Organization Name
- District 19 Community Services Board
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 25, 2006
- Last Updated
- Jul 30, 2009
Practice Location
- Address
- 20 W BANK ST
- Address 2
- SUITE 2
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-3279
- Phone
- (804) 862-8054
Authorized Official
- Name
- MR. JOSEPH E. HUBBARD, C.P.A.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (804) 862-8054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Case Management |
| Community/Behavioral Health |
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