Organization
FAMILY AND ADOLESCENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE EUGENE WOODSON ED,D, (CHIEF EXECUTIVE OFFICER)
(804) 387-0593
Entity
Organization
Contact information
Practice address
501 E FRANKLIN ST, SUITE 414, RICHMOND, VA 23219-2322
(804) 521-4450
(804) 521-4071
Mailing address
501 E FRANKLIN ST, SUITE 414, RICHMOND, VA 23219-2322
(804) 521-4450
(804) 521-4071
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
942
VA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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