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Organization

ALD GROUPS LLC

Active
Other names
ALD GROUPS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRINCESS CHINYERE HALLIDAY ENYIUKWU PHD (CIO)
(323) 497-7039
Entity
Organization

Contact information

Practice address
132 LAKESIDE DR, COLONIAL HEIGHTS, VA 23834-1604
(323) 497-7039
Mailing address
206 TEMPLE AVE, SUIT C, COLONIAL HEIGHTS, VA 23834

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
261QH0100X
Health Service Clinic/Center
305S00000X
Point of Service
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
310500000X
Mental Illness Intermediate Care Facility
347C00000X
Private Vehicle
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2021
Last updated
05/07/2022
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