Organization
SERENE SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEAKE (MANAGER)
(804) 244-4686
Entity
Organization
Contact information
Practice address
14718 COBBS POINT DR, CHESTER, VA 23836-5918
(804) 244-4686
Mailing address
14718 COBBS POINT DR, CHESTER, VA 23836-5918
(804) 244-4686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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