# DISTRICT 19 COMMUNITY SERVICES BOARD

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

## Provider details

- **NPI number:** 1679510226
- **Authorized official:** MS. TERESA WULF-HELLER LCSW (CLINICAL SERVICES DIRECTOR)
- **Authorized official phone:** (804) 862-8002

## Contact information

- **Practice address:** 5012 SELWOOD RD, RICHMOND, VA 23234-4246
- **Practice address phone:** (804) 862-8002
- **Practice address fax:** (804) 862-8060
- **Mailing address:** 5012 SELWOOD RD, RICHMOND, VA 23234-4246
- **Mailing address phone:** (804) 275-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 0904002353 | VA | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 09/15/2008
