| Created With A Purpose, Llc | |
|
6230 Daleshire Dr Richmond VA 23234-5616 | |
| (804) 247-4982 | |
| Not Available |
| Full Name | Created With A Purpose, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6230 Daleshire Dr, Richmond, Virginia |
| Authorized Official Name and Position | John Henry Morton (OWNER) |
| Authorized Official Contact | 8042474982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Created With A Purpose, Llc 6230 Daleshire Dr Richmond VA 23234-5616 Ph: (804) 247-4982 | Created With A Purpose, Llc 6230 Daleshire Dr Richmond VA 23234-5616 Ph: (804) 247-4982 |
| NPI Number | 1659526556 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659526556 | NPI | - | NPPES |
| 30 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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