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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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