Community Stability Llc | |
20 E Tabb St Ste 102a Petersburg VA 23803-4541 | |
(804) 398-1230 | |
(804) 988-5115 |
Full Name | Community Stability Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 20 E Tabb St Ste 102a, Petersburg, Virginia |
Authorized Official Name and Position | Chaz Kevan Harrington (OWNER) |
Authorized Official Contact | 8043981230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Stability Llc 10 S Vine St Richmond VA 23220-5319 Ph: (804) 398-1230 | Community Stability Llc 20 E Tabb St Ste 102a Petersburg VA 23803-4541 Ph: (804) 398-1230 |
NPI Number | 1295571669 |
---|---|
Provider Enumeration Date | 07/05/2024 |
Last Update Date | 07/05/2024 |
Certification Date | 07/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295571669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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