| Spread Your Wings | |
|
2430 Southland Drive Chester VA 23831-2354 | |
| (804) 528-4331 | |
| (804) 222-3232 |
| Full Name | Spread Your Wings |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2430 Southland Drive, Chester, Virginia |
| Authorized Official Name and Position | Pippi M Wingfield (OWNER/CEO) |
| Authorized Official Contact | 8043505336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spread Your Wings 2430 Southland Drive Chester VA 23831-2354 Ph: (804) 528-4331 | Spread Your Wings 2430 Southland Drive Chester VA 23831-2354 Ph: (804) 528-4331 |
| NPI Number | 1992239693 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992239693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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