| Family Enrichment Llc | |
|
5231 Hickory Park Dr Ste C Glen Allen VA 23059-2619 | |
| (804) 572-4000 | |
| Not Available |
| Full Name | Family Enrichment Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5231 Hickory Park Dr Ste C, Glen Allen, Virginia |
| Authorized Official Name and Position | Sally Martin (SOLE PROPRIETER) |
| Authorized Official Contact | 8045724000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Enrichment Llc 5231 Hickory Park Dr Ste C Glen Allen VA 23059-2619 Ph: (804) 572-4000 | Family Enrichment Llc 5231 Hickory Park Dr Ste C Glen Allen VA 23059-2619 Ph: (804) 572-4000 |
| NPI Number | 1083992028 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083992028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007104 (Virginia) | Primary |
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