Organization
RESILIENT LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN KELL LSW (CEO)
(804) 317-5710
Entity
Organization
Contact information
Practice address
9513 HULL STREET RD STE A, NORTH CHESTERFIELD, VA 23236-1495
(804) 317-5710
(804) 763-3453
Mailing address
PO BOX 4504, MIDLOTHIAN, VA 23112-0010
(804) 317-5710
(804) 763-3453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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