# GLAAD SERVICESLLC

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

## Provider details

- **NPI number:** 1972252146
- **Authorized official:** MS. PARIS MONAE MORTON (OWNER)
- **Authorized official phone:** (757) 343-3924

## Contact information

- **Practice address:** 1582 MOUNTAIN RD, GLEN ALLEN, VA 23060-3915
- **Practice address phone:** (757) 343-3924
- **Mailing address:** 1582 MOUNTAIN RD, GLEN ALLEN, VA 23060-3915
- **Mailing address phone:** (757) 343-3924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022