Organization
HEART FOUNDATION CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIEL ADEYOLA (MANAGER)
(804) 833-8229
Entity
Organization
Contact information
Practice address
4950 JEFFERSON DAVIS HWY STE A, NORTH CHESTERFIELD, VA 23234-3957
(804) 833-8229
(804) 833-8229
Mailing address
6108 JAHNKE RD, RICHMOND, VA 23225-2639
(804) 833-8229
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2038
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2038
VA
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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