Organization
IMPACT ADULT SERVICES, LLC
Active
Organization
IMPACT ADULT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE LOUREEN CADET PHD, MSW (CHIEF ADMINISTRATIVE OFFICER)
(804) 301-9624
Entity
Organization
Contact information
Practice address
5536 KOUFAX DR, NORTH CHESTERFIELD, VA 23234-2897
(804) 301-9624
Mailing address
14507 GLENMORGAN DR, CHESTER, VA 23831-6638
(804) 301-9624
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
88301001
VA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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