| Commonwealth Day Support | |
|
500 S Sycamore St Petersburg VA 23803-5046 | |
| (804) 908-4635 | |
| Not Available |
| Full Name | Commonwealth Day Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 S Sycamore St, Petersburg, Virginia |
| Authorized Official Name and Position | Gerry Rawlinson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8049084635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Day Support 5601 Hull Street Rd Richmond VA 23224-2839 Ph: () - | Commonwealth Day Support 500 S Sycamore St Petersburg VA 23803-5046 Ph: (804) 908-4635 |
| NPI Number | 1003342445 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003342445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2076 (Virginia) | Primary |
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