Organization
CHESTERFIELD COMMUNITY SERVICES BOARD-INFANT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH BURCHAM (EXECUTIVE DIRECTOR)
(804) 768-7220
Entity
Organization
Contact information
Practice address
101 BUFORD ROAD, SUITE 110, RICHMOND, VA 23235
(804) 748-1227
(804) 717-6659
Mailing address
101 BUFORD ROAD, SUITE 110, RICHMOND, VA 23235
(804) 748-1227
(804) 717-6659
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497884969
—
VA
Enumeration date
03/02/2007
Last updated
05/20/2015
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