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Organization

INDIVIDUALIZED TREATMENT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SHERRELL JOHNSON (CEO)
(804) 922-1685
Entity
Organization

Contact information

Practice address
605 N COURTHOUSE RD STE 201I, NORTH CHESTERFIELD, VA 23236-4068
(804) 922-1685
Mailing address
3600 WOODMERE DR, RICHMOND, VA 23234-3060
(804) 922-1685

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/25/2024
Last updated
04/25/2024
About Stedi
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Product
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