Organization
EXCEL INTERVENTION AND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HARDIN CARTER M.S. PSY (EXECUTIVE DIRECTOR)
(757) 207-0936
Entity
Organization
Contact information
Practice address
8545 MARY BALL RD, LANCASTER, VA 22503-2523
(757) 207-0936
Mailing address
PO BOX 632, LANCASTER, VA 22503-0632
(757) 207-0936
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2493
VA
Other
Enumeration date
06/08/2015
Last updated
03/31/2017
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