Organization
ON THE LEVEL BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARDSON PHD (CHIEF EXECUTIVE OFFICER)
(804) 274-9807
Entity
Organization
Contact information
Practice address
301 VIRGINIA ST UNIT 1811, RICHMOND, VA 23219-4192
(804) 274-9807
Mailing address
301 VIRGINIA ST UNIT 1811, RICHMOND, VA 23219-4192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
01/03/2020
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