Organization
CLEARR VISSIONS SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWIN HICKMAN SR. (OWNER)
(804) 677-8307
Entity
Organization
Contact information
Practice address
5812 NORTHFORD PL, CHESTERFIELD, VA 23832-7590
(804) 677-8307
(804) 271-8612
Mailing address
5812 NORTHFORD PL, CHESTERFIELD, VA 23832-7590
(804) 677-8307
(804) 271-8612
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
790
VA
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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