Organization
DELTA HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATERESEA LASHA FORD (OWNER)
(804) 269-0915
Entity
Organization
Contact information
Practice address
1703 HARVARD RD, RICHMOND, VA 23226-3522
(804) 269-0915
(804) 269-3094
Mailing address
2423 LAMB AVE, RICHMOND, VA 23222-4419
(804) 269-0915
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2006
Last updated
08/22/2020
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