Organization
DNL OUTREACH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERA WILLIAMS (OWNER)
(804) 426-6323
Entity
Organization
Contact information
Practice address
2306 EDENBROOK DR, RICHMOND, VA 23228-3010
(804) 426-6323
(804) 794-6996
Mailing address
PO BOX 35201, RICHMOND, VA 23235-0201
(804) 426-6323
(804) 794-6996
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DSS
VA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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