| Greater Community Clinical Services | |
|
13030 Queensgate Rd Midlothian VA 23114-4470 | |
| (804) 878-3839 | |
| Not Available |
| Full Name | Greater Community Clinical Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13030 Queensgate Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Nichole Aura Phillips (OWNER/CEO) |
| Authorized Official Contact | 8048783839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Community Clinical Services 13030 Queensgate Rd Midlothian VA 23114-4470 Ph: (804) 878-3839 | Greater Community Clinical Services 13030 Queensgate Rd Midlothian VA 23114-4470 Ph: (804) 878-3839 |
| NPI Number | 1154956746 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154956746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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