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Organization subpart
No

Provider details

NPI number
Authorized official
FRANCHETTE REBBECCA MAY BA (PROGRAM DIRECTOR)
(804) 658-4626
Entity
Organization

Contact information

Practice address
5516 FALMOUTH ST, 103, RICHMOND, VA 23230-1819
(804) 658-4626
Mailing address
5516 FALMOUTH ST, 103, RICHMOND, VA 23230-1819
(804) 658-4626

Taxonomy

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

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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