| Individualized Treatment Services Llc | |
|
605 N Courthouse Rd Ste 201i North Chesterfield VA 23236-4068 | |
| (804) 922-1685 | |
| Not Available |
| Full Name | Individualized Treatment Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 N Courthouse Rd Ste 201i, North Chesterfield, Virginia |
| Authorized Official Name and Position | Michelle Sherrell Johnson (CEO) |
| Authorized Official Contact | 8049221685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individualized Treatment Services Llc 3600 Woodmere Dr Richmond VA 23234-3060 Ph: (804) 922-1685 | Individualized Treatment Services Llc 605 N Courthouse Rd Ste 201i North Chesterfield VA 23236-4068 Ph: (804) 922-1685 |
| NPI Number | 1275389660 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275389660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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