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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