Organization
BEHAVIOR INTERVENTION OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M GRACE ILORI (DIRECTOR)
(804) 937-1941
Entity
Organization
Contact information
Practice address
211 TURNER RD, NORTH CHESTERFIELD, VA 23225-6415
(804) 937-1941
Mailing address
211 TURNER RD, NORTH CHESTERFIELD, VA 23225-6415
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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