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Organization
SUPPORTIVE FAMILY SERVICES
Active
Organization
SUPPORTIVE FAMILY SERVICES
Active
Other names
Supportive Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMBLET SMITH JOHNSON (OWNER)
(804) 955-5853
Entity
Organization
Contact information
Practice address
2189 K V RD, VICTORIA, VA 23974-2538
(804) 885-0773
Mailing address
3013 CRESSWELL RD, NORTH CHESTERFIELD, VA 23237-3459
(804) 218-5649
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310400000X
Assisted Living Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/25/2019
Last updated
08/02/2023
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