Organization
PEACE FROM PIECES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ROSETTA WILSON RESIDENT COUNSELOR (RESIDENT COUNSELOR)
(240) 478-2727
Entity
Organization
Contact information
Practice address
307 LAFAYETTE BLVD STE 202, FREDERICKSBURG, VA 22401-6079
(240) 478-2727
(240) 595-6187
Mailing address
PO BOX 1473, HOPEWELL, VA 23860-1473
(240) 478-2727
(240) 595-6187
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
11/27/2019
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