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Organization
GOOCHLAND POWHATAN COMMUNITY SERVICES
Active
Organization
GOOCHLAND POWHATAN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER SALTZBERG (EXECUTIVE DIRECTOR)
(804) 556-5400
Entity
Organization
Contact information
Practice address
3058 RIVER RD W, GOOCHLAND, VA 23063-3202
(804) 556-5400
(804) 556-5403
Mailing address
PO BOX 189, GOOCHLAND, VA 23063-0189
(804) 556-5400
(804) 556-5403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
207
VA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945557
—
VA
05
—
004948262
—
VA
05
—
004949919
—
VA
05
—
004949927
—
VA
05
—
004978561
—
VA
Enumeration date
09/23/2005
Last updated
02/09/2022
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