Organization
DOMINION OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY HINES LCSW (SERVICE DIRECTOR)
(804) 272-2000
Entity
Organization
Contact information
Practice address
6767 FOREST HILL AVE, SUITE 307, RICHMOND, VA 23225-1856
(804) 272-2000
(804) 272-2030
Mailing address
6767 FOREST HILL AVENUE, SUITE 307, RICHMOND, VA 23225
(804) 272-2000
(804) 272-2030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007163
VA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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