Organization
BROTHERS KEEPER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA BANKS (CAO)
(804) 353-3585
Entity
Organization
Contact information
Practice address
5305 W BROAD ST, RICHMOND, VA 23230-2627
(804) 353-3585
Mailing address
5305 W BROAD ST, RICHMOND, VA 23230-2627
(804) 353-3585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1088
VA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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