Organization
DRUG AND ALCOHOL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE W MALLINGER LCSW (DIRECTOR)
(804) 355-8478
Entity
Organization
Contact information
Practice address
2926 W MARSHALL ST, RICHMOND, VA 23230-4811
(804) 355-8482
Mailing address
2926 W MARSHALL ST, RICHMOND, VA 23230-4811
(804) 355-8482
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778
—
VA
Enumeration date
07/30/2007
Last updated
07/30/2007
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