Organization
GENERATION X-CEL THERAPEUTIC DAY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAROME KENNEY (CEO)
(804) 279-8995
Entity
Organization
Contact information
Practice address
6481 IRON BRIDGE RD, RICHMOND, VA 23234-5205
(804) 279-8995
Mailing address
6481 IRON BRIDGE RD, RICHMOND, VA 23234-5205
(804) 279-8995
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
349-14-002
VA
Other
Enumeration date
05/06/2009
Last updated
05/07/2009
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