Organization
DOMINION BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SAMUEL FALK PHD (VICE PRESIDENT)
(804) 794-4482
Entity
Organization
Contact information
Practice address
703 N COURTHOUSE RD, RICHMOND, VA 23236-4069
(804) 639-1136
(804) 639-5584
Mailing address
703 N COURTHOUSE RD, RICHMOND, VA 23236-4069
(804) 639-1136
(804) 639-5584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/16/2006
Last updated
04/16/2008
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