| Richmond Dept. Of Justice Services | |
|
3600 W Broad St Suite 400 Richmond VA 23230-4915 | |
| (804) 646-5987 | |
| (804) 646-3269 |
| Full Name | Richmond Dept. Of Justice Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 W Broad St, Richmond, Virginia |
| Authorized Official Name and Position | Charles J Kehoe (DIRECTRO) |
| Authorized Official Contact | 8046463902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Dept. Of Justice Services 3600 W Broad St Suite 400 Richmond VA 23230-4915 Ph: (804) 646-5987 | Richmond Dept. Of Justice Services 3600 W Broad St Suite 400 Richmond VA 23230-4915 Ph: (804) 646-5987 |
| NPI Number | 1306151477 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306151477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 93805001 (Virginia) | Primary |
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