Organization
CIVITAS HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEMAR BOWERS (CHIEF EXECUTIVE OFFICER)
(804) 737-3917
Entity
Organization
Contact information
Practice address
5663 S LABURNUM AVE, RICHMOND, VA 23231-4418
(804) 737-3917
(804) 737-3940
Mailing address
5663 S LABURNUM AVE, RICHMOND, VA 23231-4418
(804) 737-3917
(804) 737-3940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1588
VA
Other
Enumeration date
10/14/2011
Last updated
07/21/2016
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