Organization
GREATER COMMUNITY CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE AURA PHILLIPS (OWNER/CEO)
(804) 878-3839
Entity
Organization
Contact information
Practice address
13030 QUEENSGATE RD, MIDLOTHIAN, VA 23114-4470
(804) 878-3839
Mailing address
13030 QUEENSGATE RD, MIDLOTHIAN, VA 23114-4470
(804) 878-3839
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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