| Brookfield, Inc | |
|
10187 Brook Rd Glen Allen VA 23059-6508 | |
| (804) 266-7631 | |
| (804) 264-6127 |
| Full Name | Brookfield, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10187 Brook Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Timothy M Reading (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8042667631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookfield, Inc 10187 Brook Rd Glen Allen VA 23059-6508 Ph: (804) 266-7631 | Brookfield, Inc 10187 Brook Rd Glen Allen VA 23059-6508 Ph: (804) 266-7631 |
| NPI Number | 1609054493 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609054493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 881-14-001 (Virginia) | Primary |
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