| Deon Intervention Inc. | |
|
612 Grayson Ave Richmond VA 23222-1328 | |
| (804) 228-1102 | |
| (804) 228-9812 |
| Full Name | Deon Intervention Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 612 Grayson Ave, Richmond, Virginia |
| Authorized Official Name and Position | Lynette Ruffin Goode (FOUNDER AND PRESIDENT) |
| Authorized Official Contact | 8042281102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deon Intervention Inc. 612 Grayson Ave Richmond VA 23222-1328 Ph: (804) 228-1102 | Deon Intervention Inc. 612 Grayson Ave Richmond VA 23222-1328 Ph: (804) 228-1102 |
| NPI Number | 1417199043 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417199043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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