Organization
COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WHITE (CEO)
(804) 405-7175
Entity
Organization
Contact information
Practice address
3806 JEFFERSON DAVIS HWY, RICHMOND, VA 23234-2632
(804) 447-2138
Mailing address
PO BOX 37033, NORTH CHESTERFIELD, VA 23234-7033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1351-192
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351
—
VA
Enumeration date
08/14/2013
Last updated
08/14/2013
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