Organization
THISABILITY COMMUNITY ENGAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA M SAMPLE (OWNER)
(804) 926-8101
Entity
Organization
Contact information
Practice address
135 WEST TABB STREET, PETERSBURG, VA 23803-2380
(804) 926-8101
Mailing address
24206 GAYDELL DR, NORTH DINWIDDIE, VA 23803-8337
(804) 926-8101
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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