Organization
VIRGINIA SUPPORTIVE SERVICES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHNSON JR. (OWNER)
(804) 714-4676
Entity
Organization
Contact information
Practice address
9405 PLUM CT, NORTH CHESTERFIELD, VA 23237-3282
(804) 715-4676
Mailing address
1540 ALASKA DR, RICHMOND, VA 23224-3107
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
06/20/2018
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