Organization
CONSOLIDATED CARE BEHAVIORAL HEALTH
Active
Organization
CONSOLIDATED CARE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTRAIL WHITE (CEO)
(804) 605-1176
Entity
Organization
Contact information
Practice address
21130 WARREN AVE, SOUTH CHESTERFIELD, VA 23803-2236
(804) 605-1176
Mailing address
21130 WARREN AVE, SOUTH CHESTERFIELD, VA 23803-2236
(804) 605-1176
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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