Organization
COVER
Active
Other names
Community Outreach to Vietnam Era Returnees
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY COATES JAMES LPC (DIRECTOR)
(434) 964-1910
Entity
Organization
Contact information
Practice address
501 W MAIN ST, CHARLOTTESVILLE, VA 22903-5541
(434) 964-1910
Mailing address
PO BOX 1284, CHARLOTTESVILLE, VA 22902-1284
(434) 964-1910
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
0701001075
VA
251S00000X
Community/Behavioral Health Agency
Primary
0701001075
VA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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