Organization
FAMILY IMPACT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FELICIA MATTOCKS (PRESIDENT)
(804) 276-1777
Entity
Organization
Contact information
Practice address
304 B TURNER RD, SUITE B, RICHMOND, VA 23225
(804) 276-1777
(804) 276-1877
Mailing address
300 A TURNER ROAD, SUITE A, RICHMOND, VA 23225
(804) 276-1777
(804) 276-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
784
VA
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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