Organization
OTL COMMUNITY SERVICES
Active
Organization
OTL COMMUNITY SERVICES
Active
Other names
Good Neighbor Mental Health Support, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY MAZZEI (PROGRAM DIRECTOR)
(804) 520-4600
Entity
Organization
Contact information
Practice address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(855) 355-7001
(804) 251-0989
Mailing address
9201 ARBORETUM PKWY STE 300, NORTH CHESTERFIELD, VA 23236-5407
(855) 355-7001
(804) 251-0989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
748-03-002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748-03-002
DEPARTMENT OF BEHAVIORAL HEALTH AND DISABILITY SERVICES
VA
Enumeration date
06/23/2010
Last updated
05/24/2023
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