Organization
S.T.A.A.N.D YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNELL PEARSON (OWNER)
(804) 691-8356
Entity
Organization
Contact information
Practice address
1510 BELMEADOW CIR, EMPORIA, VA 23847-2702
(804) 691-8356
Mailing address
1510 BELL MEADOW CIRCLE, EMPORIA, VA 23847
(804) 691-8356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08029571
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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