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1107 Alverser Dr Midlothian VA 23113-2655 | |
(804) 897-1753 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1107 Alverser Dr, Midlothian, Virginia |
Authorized Official Name and Position | Sherman Alexander Adkins (DIRECTOR OF FINANCE & OPERATIONS) |
Authorized Official Contact | 8047216222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3530 Post Office Rd Unit 4563 Midlothian VA 23112-0923 Ph: (804) 491-9543 | 1107 Alverser Dr Midlothian VA 23113-2655 Ph: (804) 897-1753 |
NPI Number | 1811248032 |
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Provider Enumeration Date | 09/27/2012 |
Last Update Date | 01/26/2017 |
Identifier | Type | State | Issuer |
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1811248032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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