| Commonwealth Behavioral Care Services Llc | |
|
43 Rives Rd Ste 9 Petersburg VA 23805-9255 | |
| (804) 479-6969 | |
| Not Available |
| Full Name | Commonwealth Behavioral Care Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43 Rives Rd Ste 9, Petersburg, Virginia |
| Authorized Official Name and Position | Michael Terrell Trotter (CEO) |
| Authorized Official Contact | 8044796969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Behavioral Care Services Llc 43 Rives Rd Ste 9 Petersburg VA 23805-9255 Ph: (804) 479-6969 | Commonwealth Behavioral Care Services Llc 43 Rives Rd Ste 9 Petersburg VA 23805-9255 Ph: (804) 479-6969 |
| NPI Number | 1245943364 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245943364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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