Organization
DIVERSITY TRAINING & SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE WHITTINGHAM M.ED. (DIRECTOR)
(804) 405-4000
Entity
Organization
Contact information
Practice address
9301 HULL STREET RD, RICHMOND, VA 23236-1658
(804) 405-4000
(804) 743-1845
Mailing address
PO BOX 74425, RICHMOND, VA 23236-0008
(804) 405-4000
(804) 743-1845
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
70202006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70202006
DMHMRSAS PROVIDER #
VA
Enumeration date
01/10/2007
Last updated
08/22/2020
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