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Organization

MINDFUL ADDICTION RECOVERY SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONOVAN GORDON (CEO)
(804) 551-8436
Entity
Organization

Contact information

Practice address
101 BUFORD RD STE 203, NORTH CHESTERFIELD, VA 23235-5292
(804) 716-0005
Mailing address
101 BUFORD RD STE 203, NORTH CHESTERFIELD, VA 23235-5292
(804) 551-8436

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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