Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KHALILAH GARRETT LCSW (LICENSED CLINICAL SOCIAL WORKER)
(804) 675-5000
Entity
Organization
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5778
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0904009300
VA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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