Organization
NEW HAVEN CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS EUGENE GLOVER M.ED (CHEIF ADMINISTRATIVE OFFICER)
(804) 644-2245
Entity
Organization
Contact information
Practice address
905 MAPLEGROVE DR, RICHMOND, VA 23223-2637
(804) 644-2245
Mailing address
905 MAPLEGROVE DR, RICHMOND, VA 23223-2637
(804) 644-2245
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
SS35507
VA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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