Organization
PROFESSIONAL THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZA STOKES QMHP (OWNER)
(804) 519-1064
Entity
Organization
Contact information
Practice address
2920 MARY BETH LN, GLEN ALLEN, VA 23060-7337
(804) 519-1064
Mailing address
2920 MARY BETH LN, GLEN ALLEN, VA 23060-7337
(804) 519-1064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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