Organization
COMMUNITY INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DENISE HARRIS QMHP (CEO)
(804) 852-0039
Entity
Organization
Contact information
Practice address
901 SCOTCH PINE CT, SANDSTON, VA 23150-1672
(804) 852-0039
Mailing address
901 SCOTCH PINE CT, SANDSTON, VA 23150-1672
(804) 852-0039
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1126-03-001
VA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
About Stedi
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