Organization
RESILIENT HEALTH AND COMMUNITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND V TAYAG (PRESIDENT/CEO)
(276) 224-0949
Entity
Organization
Contact information
Practice address
300 FRANKLIN ST STE 231, MARTINSVILLE, VA 24112-2162
(276) 224-0949
Mailing address
PO BOX 4202, MARTINSVILLE, VA 24115-4202
(276) 224-0949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2696-03-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696-03-001
—
VA
Enumeration date
08/01/2017
Last updated
08/01/2017
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