Organization
THE WHITTLE GROUP
Active
Organization
THE WHITTLE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE W. WHITTLE M.ED, QMHP (CEO/PROGRAM DIRECTOR)
(804) 402-1611
Entity
Organization
Contact information
Practice address
2012 W MAIN ST, RICHMOND, VA 23220-4526
(804) 402-1611
(804) 308-1499
Mailing address
2012 W MAIN ST, RICHMOND, VA 23220-4526
(804) 402-1611
(804) 308-1499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701002062
VA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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