Organization
PATRICE'S PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELL L LEWIS SR. (CFO)
(804) 377-8290
Entity
Organization
Contact information
Practice address
5201 SNEAD RD, RICHMOND, VA 23224-6032
(804) 377-2960
(804) 308-3991
Mailing address
5155 SNEAD RD, RICHMOND, VA 23224-6030
(804) 377-8290
(804) 421-8291
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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