Organization
COVER
Active
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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