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Organization
ST. JOSEPH'S VILLA
Active
Organization
ST. JOSEPH'S VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LYNN FAISON (CHIEF OPERATIONS OFFICER)
(804) 553-3249
Entity
Organization
Contact information
Practice address
8000 BROOK ROAD, RICHMOND, VA 23227-1338
(804) 553-3200
(804) 553-3259
Mailing address
8000 BROOK ROAD, RICHMOND, VA 23227-1338
(804) 553-3200
(804) 553-3259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
160
VA
251C00000X
Developmentally Disabled Services Day Training Agency
160
VA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
160
VA
Other
Enumeration date
04/17/2006
Last updated
09/11/2025
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