Organization
BROTHERS KEEPER INC
Active
Organization
BROTHERS KEEPER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EARL BANKS JR. (PROGRAM DIRECTOR)
(804) 353-3585
Entity
Organization
Contact information
Practice address
4110 FITZHUGH AVE, RICHMOND, VA 23230-3827
(804) 353-3585
(804) 353-3588
Mailing address
4110 FITZHUGH AVE, RICHMOND, VA 23230-3827
(804) 353-3585
(804) 353-3588
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1088
VA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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