Organization
JCM COMMUNITY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIEN JORDAN (CFO)
(804) 986-5787
Entity
Organization
Contact information
Practice address
8646 RESECA LANE, WEST SPRINFIELD, VA 22152-1411
(804) 986-5787
Mailing address
8646 RESECA LANE, WEST SPRINFIELD, VA 22152
(804) 986-5787
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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