Organization
GROVE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AISHA J BULLARD (OWNER)
(804) 523-7702
Entity
Organization
Contact information
Practice address
6719 IRONGATE DR, RICHMOND, VA 23234-2840
(804) 523-7702
(833) 383-5281
Mailing address
2317 WESTWOOD AVE, SUITE 209, RICHMOND, VA 23230-4007
(804) 523-7702
(866) 383-5281
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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