Organization
POSITIVE LIVING CHOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS WILKINS (CO-OWNER)
(804) 647-4358
Entity
Organization
Contact information
Practice address
1735 MONTICELLO ST, PETERSBURG, VA 23805-1640
(704) 726-7780
Mailing address
PO BOX 303, COLONIAL HEIGHTS, VA 23834-0303
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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