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Organization

COUNSELING AND ADVOCACY ASSC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY PRICE (ADMINISTRATIVE COORDINATOR)
(804) 744-1114
Entity
Organization

Contact information

Practice address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112-3300
(804) 744-1114
(804) 893-3721
Mailing address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112-3300
(804) 744-1114
(804) 893-3721

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1175-08-011
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1175
DEPARTMENT OF BEHAVIORAL HEALTH SERVICES
VA
Enumeration date
11/21/2017
Last updated
11/21/2017
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