Organization
FAMILY FACE 2 FACE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY LATOYA JOHNSON (DIRECTOR OF ADMINISTRATION)
(804) 303-4587
Entity
Organization
Contact information
Practice address
3105 W MARSHALL ST STE 112, RICHMOND, VA 23230-4721
(804) 833-7231
Mailing address
3105 W MARSHALL ST STE 205, RICHMOND, VA 23230-4722
(804) 303-4587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1104-05-001
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1104
VA
Other
Enumeration date
06/14/2008
Last updated
10/19/2009
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