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Organization

EMPYREAN OASIS WELLNESS CENTER INC

Active
Other names
EMPYREAN OASIS WELLNESS CENTER INC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATOYA PAULETTE LCSW (DIRECTOR)
(323) 506-9714
Entity
Organization

Contact information

Practice address
8401 MAYLAND DR STE 5259, RICHMOND, VA 23294-4648
(618) 310-8306
Mailing address
8401 MAYLAND DR STE 5259, RICHMOND, VA 23294-4648
(618) 310-8306

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
261QR0800X
Recovery Care Clinic/Center
310500000X
Mental Illness Intermediate Care Facility

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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