Impact Community Services, LLC
NPI #1932571668 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1932571668
- Entity Type
- Organization
- Organization Name
- Impact Community Services, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 21, 2015
- Last Updated
- Oct 21, 2015
Practice Location
- Address
- 10310 MEMORY LN
- Address 2
- STE. 1A
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832-8828
- Phone
- (804) 677-9456
Authorized Official
- Name
- TORASHA BLANDING
- Title
- OWNER
- Phone
- (804) 677-9456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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