Organization
DOLLS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE YVONNE EDWARDS (CHIEF ADMINISTRATIVE OFFICER)
(804) 301-1588
Entity
Organization
Contact information
Practice address
108 BARKER AVE, RICHMOND, VA 23223-3504
(804) 326-9101
(804) 326-9102
Mailing address
4009 MONTCLAIR RD, RICHMOND, VA 23223-1172
(804) 326-9010
(804) 326-9102
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CO39108
VA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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