Organization
KING'S HEART REIDENTIAL AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BROOKS ARRINGTON M.P.A. (CEO)
(804) 445-1312
Entity
Organization
Contact information
Practice address
1720 NORWOOD RD, BRUINGTON, VA 23023-4158
(804) 445-1312
(804) 443-5380
Mailing address
1720 NORWOOD RD, BRUINGTON, VA 23023-4158
(804) 445-1312
(804) 443-5380
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
1524-01-001
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1524-01-001
VA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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