Organization
DANVILLE-PITTSYLVANIA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F. BEBEAU LPC (EXECUTIVE DIRECTOR)
(434) 799-0456
Entity
Organization
Contact information
Practice address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 799-0456
(434) 793-4201
Mailing address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 799-0456
(434) 793-4201
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945085
—
VA
01
—
085644
OPTIMA FAMILY CARE
VA
01
—
O85644
OPTIMA FAMILY CARE GROUP
VA
Enumeration date
03/29/2006
Last updated
08/14/2019
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