Organization
IRISEBYGETTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGETTE F DILWORTH PRS (PEER RECOVERY SPECIALIST)
(928) 388-4551
Entity
Organization
Contact information
Practice address
13701 RIVER WALK PL APT 203, CHESTER, VA 23836-6166
(928) 388-4551
Mailing address
13701 RIVER WALK PL APT 203, CHESTER, VA 23836-6166
(928) 388-4551
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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