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Organization
CMJ POSITIVE CHANGE LLC
Active
Organization
CMJ POSITIVE CHANGE LLC
Active
Other names
cmj positive change llc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISALENE D ANDERSON (PARTNER)
(757) 342-4183
Entity
Organization
Contact information
Practice address
202 LEE ST, 202 LEE ST, SUFFOLK, VA 23434-5319
(757) 923-1200
(757) 638-7662
Mailing address
202 LEE ST, SUFFOLK, VA 23434-5319
(757) 923-1200
(757) 638-7662
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
09/17/2006
Last updated
08/22/2020
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