# COMMONWEALTH OF VIRGINIA STATE DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONWEALTH OF VIRGINIA STATE DEPARTMENT OF HEALTH
- **Other names:** Central Virginia Child Development Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477636728
- **Legal business name:** COMMONWEALTH OF VIRGINIA STATE DEPARTMENT OF HEALTH
- **Authorized official:** MRS. GAIL J BRICELAND RN PNP (DIRECTOR)
- **Authorized official phone:** (434) 947-2030

## Contact information

- **Practice address:** 1900 THOMSON DR, CHILD DEVELOPMENT CLINIC, LYNCHBURG, VA 24501-1009
- **Practice address phone:** (434) 947-2030
- **Practice address fax:** (434) 947-2389
- **Mailing address:** PO BOX 11768, CHILD DEVELOPMENT CLINIC, LYNCHBURG, VA 24506-1768
- **Mailing address phone:** (434) 947-2030
- **Mailing address fax:** (434) 947-2389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 06/27/2008