Clearr Vission Support Services, LLC

NPI #1902988702 in Chesterfield, Virginia

Provider Information

NPI Number: 1902988702
Entity Type: Organization
Organization Name: Clearr Vission Support Services, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5812 NORTHFORD PL
City: Chesterfield
State: Virginia
ZIP Code: 23832-7590
Phone: (804) 271-7263

Authorized Official

Name: MR. DERWIN LAMONT HICKMAN SR.
Title: CEO
Phone: (804) 527-0992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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