Commonwealth Behavioral Care Services LLC
NPI #1245943364 in Petersburg, Virginia
Provider Information
- NPI Number
- 1245943364
- Entity Type
- Organization
- Organization Name
- Commonwealth Behavioral Care Services LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 4, 2023
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 43 RIVES RD STE 9
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9255
- Phone
- (804) 479-6969
Authorized Official
- Name
- MR. MICHAEL TERRELL TROTTER
- Title
- CEO
- Phone
- (804) 479-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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