Organization
FAMILY IMPACT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FELICIA MATTOCKS (PRESIDENT)
(804) 276-1777
Entity
Organization
Contact information
Practice address
300 TURNER RD, A, RICHMOND, VA 23225-6431
(804) 276-1777
(804) 276-1877
Mailing address
300 TURNER RD, A, RICHMOND, VA 23225-6431
(804) 276-1777
(804) 276-1877
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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