Organization
ONE ON ONE ADDICTION AND RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHERISE THOMAS (ADMINISTRATOR)
(804) 615-4542
Entity
Organization
Contact information
Practice address
5538 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-4563
(804) 615-4542
Mailing address
PO BOX 13066, RICHMOND, VA 23225-0066
(804) 615-4542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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