Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Bon Secours Behavioral Health Group at St. Mary's
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILTY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
5855 BREMO RD STE 404, MOB NORTH, RICHMOND, VA 23226-1924
(804) 287-7788
(804) 287-7525
Mailing address
5855 BREMO RD STE 404, MOB NORTH, RICHMOND, VA 23226-1924
(804) 287-7788
(804) 287-7525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
06/01/2012
Last updated
10/24/2018
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