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Organization

PREVENTION SERVICES OF VIRGINIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KINLEE DEATRICEE STEWART (OWNER)
(757) 472-5143
Entity
Organization

Contact information

Practice address
3600 W BROAD ST, #233, RICHMOND, VA 23230-4915
(757) 472-5143
Mailing address
3600 W BROAD ST, #233, RICHMOND, VA 23230-4915
(757) 472-5143

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2115
VA

Other

Enumeration date
06/02/2014
Last updated
06/02/2014
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