Organization
REC LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA GREENE M.S.,CTRS,CCLS,QMHP (OWNER)
(804) 762-0063
Entity
Organization
Contact information
Practice address
4870 SADLER ROAD STE 300, #5050, GLEN ALLEN, VA 23060
(804) 762-0063
Mailing address
4870 SADLER ROAD STE 300, #5050, GLEN ALLEN, VA 23060
(804) 762-0063
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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