Structured Living LLC
NPI #1760998496 in Mechanicsville, Virginia
Provider Information
- NPI Number
- 1760998496
- Entity Type
- Organization
- Organization Name
- Structured Living LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 18, 2017
- Last Updated
- Dec 18, 2017
Practice Location
- Address
- 8500 BELL CREEK RD
- City
- Mechanicsville
- State
- Virginia
- ZIP Code
- 23116-3826
- Phone
- (804) 277-3635
Authorized Official
- Name
- MR. JAMALL TRIMAINE MINOR
- Title
- PROGRAM MANAGER
- Phone
- (804) 252-2704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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