| Childhood Transformations, Pllc | |
|
7400 Brook Rd Suite C Richmond VA 23227-1817 | |
| (804) 657-7529 | |
| Not Available |
| Full Name | Childhood Transformations, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7400 Brook Rd, Richmond, Virginia |
| Authorized Official Name and Position | L Miller (PRESIDENT) |
| Authorized Official Contact | 8046577529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childhood Transformations, Pllc 7400 Brook Rd Suite C Richmond VA 23227-1817 Ph: (804) 657-7529 | Childhood Transformations, Pllc 7400 Brook Rd Suite C Richmond VA 23227-1817 Ph: (804) 657-7529 |
| NPI Number | 1043446438 |
|---|---|
| Provider Enumeration Date | 05/31/2009 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043446438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904006991 (Virginia) | Primary |
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