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Organization

ARMOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM EUGENE MASSENBURG JR. (OWNER)
(804) 205-1011
Entity
Organization

Contact information

Practice address
43 RIVES RD BSMT, PETERSBURG, VA 23805-9255
(804) 205-1011
(804) 302-7985
Mailing address
43 RIVES RD BSMT, PETERSBURG, VA 23805-9255
(804) 205-1011
(804) 302-7985

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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