| The Kingdom Foundation | |
|
110 Exchange St Ste C Danville VA 24541-3500 | |
| (434) 421-9447 | |
| (434) 857-2219 |
| Full Name | The Kingdom Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Exchange St Ste C, Danville, Virginia |
| Authorized Official Name and Position | Cecil Ezekiel Bridgeforth (CEO/PRESIDENT) |
| Authorized Official Contact | 4344219447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kingdom Foundation 110 Exchange St Ste C Danville VA 24541-3500 Ph: (434) 421-9447 | The Kingdom Foundation 110 Exchange St Ste C Danville VA 24541-3500 Ph: (434) 421-9447 |
| NPI Number | 1992290332 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992290332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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