Organization
FAMILY COUNSELING CENTER FOR RECOVERY
Active
Organization
FAMILY COUNSELING CENTER FOR RECOVERY
Active
Other names
FCCR
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ADCOCK LCSW (DIRECTOR)
(804) 354-1996
Entity
Organization
Contact information
Practice address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516
Mailing address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
746
VA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021282
CIGNA
VA
01
—
144252
ANTHEM
VA
01
—
184832
COMPYSCH
VA
01
—
2204983
CIGNA
VA
01
—
2421212
CIGNA
VA
01
—
301263
ANTHEM
VA
01
—
303602
ANTHEM
VA
01
—
43014000
MAGELLAN
VA
01
—
527132
VALUE OPTION
VA
01
—
7805742
AETNA
VA
01
—
783408000
MAGELLAN
VA
01
—
7947214
AETNA
VA
01
—
89403M
UNITED BEHAVIORAL HEALTH
VA
Enumeration date
12/28/2006
Last updated
09/26/2014
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