Organization
ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
Active
Organization
ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MICKENS QMHP (PRESIDENT)
(804) 387-0426
Entity
Organization
Contact information
Practice address
5833 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3007
(804) 387-0426
Mailing address
889 MOUNT OLIVE COHOKE RD, KING WILLIAM, VA 23086-2424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2063
VA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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