Organization
WILLIAMSVILLE WELLNESS, LLC
Active
Other names
Williamsville Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WOODROW CABANISS JR. (EXECUTIVE DIRECTOR)
(804) 559-9959
Entity
Organization
Contact information
Practice address
8505 BELL CREEK RD, MECHANICSVILLE, VA 23116-3829
(804) 559-9959
(804) 559-9613
Mailing address
10515 CABANISS LN, HANOVER, VA 23069-1840
(804) 559-9959
(804) 559-9613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
994
VA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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