Organization
FAMILY IMPACT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH FELICIA MATTOCKS (PRESIDENT/HUMAN RESOURCE MANAGER)
(804) 276-1777
Entity
Organization
Contact information
Practice address
304 TURNER RD, SUITE C, RICHMOND, VA 23225-6431
(804) 276-1777
(804) 276-1877
Mailing address
304 TURNER RD, SUITE C, RICHMOND, VA 23225-6427
(804) 276-1777
(804) 276-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010285445
—
VA
Enumeration date
07/20/2006
Last updated
06/16/2008
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