Organization
HENRICO AREA MENTAL HEATLH AND DEVELOPMENTAL SERVICES
Active
Other names
Henrico Area Mental Health & Developmental Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA TOTTY (EXECUTIVE DIRECTOR)
(804) 727-8585
Entity
Organization
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
099
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110330
ANTHEM GROUP NUMBER
VA
01
—
153980000
MAGELLAN GROUP NUMBER
VA
01
—
324461
VALUE OPTIONS GROUP NUMBE
VA
05
—
4945131
—
VA
05
—
4978544
—
VA
Enumeration date
09/26/2006
Last updated
04/12/2018
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