# POSITIVE LIVING CHOICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205184157
- **Authorized official:** MR. CARLOS WILKINS (CO-OWNER)
- **Authorized official phone:** (804) 647-4358

## Contact information

- **Practice address:** 1735 MONTICELLO ST, PETERSBURG, VA 23805-1640
- **Practice address phone:** (704) 726-7780
- **Mailing address:** PO BOX 303, COLONIAL HEIGHTS, VA 23834-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/27/2012