Organization
ALL BEHAVIOR CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARA MEADOWS (EXECUTIVE DIRECTOR)
(804) 704-0973
Entity
Organization
Contact information
Practice address
13609 QUAIL HOLLOW LN, MIDLOTHIAN, VA 23112-4454
(804) 704-0973
Mailing address
17012 HONEYBUSH LN, MOSELEY, VA 23120, MOSELEY, VA 23120
(804) 704-0973
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
11/21/2023
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