Organization
CHANGING FAZES YOUTH AND FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHENITA WILLIAMS LCSW (CLINICAL DIRECTOR)
(804) 344-3730
Entity
Organization
Contact information
Practice address
2025 E MAIN ST, SUITE 212, RICHMOND, VA 23223-7069
(804) 344-3730
Mailing address
2025 E MAIN ST, SUITE 212, RICHMOND, VA 23223-7069
(804) 344-3730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
572-07-005
VA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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