| Bon Secours Behavioral Health Services | |
|
1500 N 28th St 3rd Floor Richmond VA 23223-5332 | |
| (804) 371-1675 | |
| (804) 225-1764 |
| Full Name | Bon Secours Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1500 N 28th St, Richmond, Virginia |
| Authorized Official Name and Position | George O. Butler (DIRECTOR, CORPORATE RESPONSIBILITY) |
| Authorized Official Contact | 8042810271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Behavioral Health Services 1500 N 28th St 3rd Floor Richmond VA 23223-5332 Ph: (804) 371-1675 | Bon Secours Behavioral Health Services 1500 N 28th St 3rd Floor Richmond VA 23223-5332 Ph: (804) 371-1675 |
| NPI Number | 1730416579 |
|---|---|
| Provider Enumeration Date | 11/16/2009 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730416579 | NPI | - | NPPES |
| C06115 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Virginia) | Primary |
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