| Home For Good | |
|
4906 Cutshaw Ave Ste 102 Richmond VA 23230-3630 | |
| (804) 562-6604 | |
| (804) 308-0551 |
| Full Name | Home For Good |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4906 Cutshaw Ave Ste 102, Richmond, Virginia |
| Authorized Official Name and Position | Kathleen S Levenston (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8045626604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home For Good 4906 Cutshaw Ave Ste 102 Richmond VA 23230-3630 Ph: (804) 562-6604 | Home For Good 4906 Cutshaw Ave Ste 102 Richmond VA 23230-3630 Ph: (804) 562-6604 |
| NPI Number | 1245484195 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245484195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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