Organization
AUTISM INTERVENTIONS OF RICHMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN STICKLEY (PRESIDENT)
(804) 266-1105
Entity
Organization
Contact information
Practice address
1614 CLAREMONT AVE, RICHMOND, VA 23227-3930
(804) 266-1105
Mailing address
1614 CLAREMONT AVE, RICHMOND, VA 23227-3930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0001020234
VA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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