Organization
ADJUST TO LIFE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MICKENS II (PRESIDENT)
(804) 387-0426
Entity
Organization
Contact information
Practice address
318 N ARCH RD, NORTH CHESTERFIELD, VA 23236-3567
(804) 387-0426
Mailing address
889 MOUNT OLIVE COHOKE RD, KING WILLIAM, VA 23086-2424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2063
VA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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