Organization
SPAIN RESIDENTIAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE SMITH (OWNER)
(804) 523-7702
Entity
Organization
Contact information
Practice address
5941 ALMOND TREE TER, HENRICO, VA 23231-4789
(804) 523-7702
(866) 383-5281
Mailing address
2916 CHAMBERLAYNE AVE, RICHMOND, VA 23222-3506
(804) 523-7702
(866) 383-5281
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CO-435-10
VA
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up