| Mead Community Based Services | |
|
10518 Genlou Rd Chesterfield VA 23832-7270 | |
| (804) 382-1755 | |
| Not Available |
| Full Name | Mead Community Based Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10518 Genlou Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | Gilroy Delano Poindexter (OWNER/COUNSELOR) |
| Authorized Official Contact | 8043821755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mead Community Based Services 10518 Genlou Rd Chesterfield VA 23832-7270 Ph: () - | Mead Community Based Services 10518 Genlou Rd Chesterfield VA 23832-7270 Ph: (804) 382-1755 |
| NPI Number | 1043599129 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043599129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710101910 (Virginia) | Primary |
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