Organization
CITTY INC.
Active
Other names
Opportunity Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JERMAINE JACKSON M.ED. (CAO/PROGRAM DIRECTOR)
(804) 218-0935
Entity
Organization
Contact information
Practice address
177 ELSING GREEN WAY, HIGHLAND SPRINGS, VA 23075-2451
(804) 218-0935
Mailing address
177 ELSING GREEN WAY, HIGHLAND SPRINGS, VA 23075-2451
(804) 218-0935
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
SS-343-07
VA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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