Organization
TRICITIES COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EZECHUKWU PRINCE IBEKWE (CEO)
(804) 247-3997
Entity
Organization
Contact information
Practice address
2457 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2317
(804) 247-3997
Mailing address
2457 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2317
(804) 247-3997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/29/2024
Last updated
02/25/2025
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