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Organization

RESTORATIVE INTENSIVE MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISAIAH TAYLOR (MANAGING MEMBER)
(804) 495-9337
Entity
Organization

Contact information

Practice address
7410 HULL STREET RD STE 200, NORTH CHESTERFIELD, VA 23235-5834
(804) 592-0776
Mailing address
7410 HULL STREET RD STE 200, NORTH CHESTERFIELD, VA 23235-5834

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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