| Positive Development Group | |
|
6972 Forest Hill Ave Fl 2 Richmond VA 23225-1654 | |
| (804) 918-5715 | |
| (800) 729-0160 |
| Full Name | Positive Development Group |
|---|---|
| Speciality | Counselor |
| Location | 6972 Forest Hill Ave Fl 2, Richmond, Virginia |
| Authorized Official Name and Position | Shareeta Tanell Glasco (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8049185715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Development Group Po Box 13701 Richmond VA 23225-8701 Ph: (804) 918-5715 | Positive Development Group 6972 Forest Hill Ave Fl 2 Richmond VA 23225-1654 Ph: (804) 918-5715 |
| NPI Number | 1114439221 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114439221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 249805001 (Virginia) | Primary |
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