# DEPARTMENT OF VETERAN AFFAIRS

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

## Provider details

- **NPI number:** 1245699594
- **Authorized official:** MS. KHALILAH GARRETT LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (804) 675-5000

## Contact information

- **Practice address:** 1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
- **Practice address phone:** (804) 675-5000
- **Practice address fax:** (804) 675-5778
- **Mailing address:** 1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0904009300 | VA | Yes |

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 02/15/2016