Organization
FAITH & FAMILY ADVOCATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIDRE WADE WHITTLE M. ED, QMHP (CEO/PROGRAM DIRECTOR)
(804) 402-1611
Entity
Organization
Contact information
Practice address
8234 FOURSCORE DR, MECHANICSVILLE, VA 23111-4541
(804) 402-1611
Mailing address
8234 FOURSCORE DR, MECHANICSVILLE, VA 23111-4541
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
VA
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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