| Henrico Area Mental Health & Developmental Services East End Center | |
|
3908 Nine Mile Road Henrico VA 23223 | |
| (804) 783-2505 | |
| (804) 783-2514 |
| Full Name | Henrico Area Mental Health & Developmental Services East End Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3908 Nine Mile Road, Henrico, Virginia |
| Authorized Official Name and Position | Anita Bennett (CEO) |
| Authorized Official Contact | 8047832505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrico Area Mental Health & Developmental Services East End Center 517 W Grace St Richmond VA 23220-4911 Ph: (804) 783-2505 | Henrico Area Mental Health & Developmental Services East End Center 3908 Nine Mile Road Henrico VA 23223 Ph: (804) 783-2505 |
| NPI Number | 1245632876 |
|---|---|
| Provider Enumeration Date | 09/26/2014 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 9931010857 |
|---|---|
| Medicare Enrollment ID | O20141204001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245632876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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