Organization
MENTAL HEALTH COMMUNITY BASED RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE WILLIS LCSW, LSATP (CLINICAL DIRECTOR)
(434) 542-5448
Entity
Organization
Contact information
Practice address
515 GEORGE WASHINGTON HWY, CHARLOTTE COURT HOUSE, VA 23923
(434) 542-5448
(434) 542-5448
Mailing address
PO BOX 67, CHARLOTTE COURT HOUSE, VA 23923-0067
(434) 542-5448
(434) 542-5448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1304
VA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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