Organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Active
Parent organization
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Other names
SDHS Counseling & Behavioral Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN DOMINION HEALTH SYSTEM, INC.
Authorized official
APRIL KING (CEO)
(434) 696-2165
Entity
Organization
Contact information
Practice address
1508 K V RD, VICTORIA, VA 23974-2624
(434) 696-2319
(434) 696-2326
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
VA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/09/2009
Last updated
02/07/2024
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