Organization
PROVIDENT ARC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO ROUNDTREE (CO-OWNER)
(703) 861-4409
Entity
Organization
Contact information
Practice address
17300 RIVER RIDGE BLVD, SUITE 301, WOODBRIDGE, VA 22191-5167
(703) 861-4409
Mailing address
17300 RIVER RIDGE BLVD, SUITE 301, WOODBRIDGE, VA 22191-5167
(703) 861-4409
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
954
VA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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