Caroline Outpatient Program
NPI #1346423225 in Ruther Glen, Virginia
Provider Information
- NPI Number
- 1346423225
- Entity Type
- Organization
- Organization Name
- Caroline Outpatient Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Dec 13, 2007
Practice Location
- Address
- 7120 CONWAY PLACE
- City
- Ruther Glen
- State
- Virginia
- ZIP Code
- 22546
- Phone
- (804) 305-5954
Authorized Official
- Name
- MRS. SHERONDA W. WINGO
- Title
- CEO/DIRECTOR
- Phone
- (804) 589-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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