Organization
MEAD COMMUNITY BASED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILROY DELANO POINDEXTER BSW, CSAC (OWNER/COUNSELOR)
(804) 382-1755
Entity
Organization
Contact information
Practice address
10518 GENLOU RD, CHESTERFIELD, VA 23832-7270
(804) 382-1755
Mailing address
10518 GENLOU RD, CHESTERFIELD, VA 23832-7270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101910
VA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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