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Organization

BEHAVIORAL AWARENESS CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAUREL V. PURCHASE LCSW (PRESIDENT)
(804) 320-3626
Entity
Organization

Contact information

Practice address
681 HIOAKS RD, SUITE A, RICHMOND, VA 23225-4043
(804) 320-3626
(804) 330-5567
Mailing address
681 HIOAKS ROAD, SUITE A, RICHMOND, VA 23225
(804) 320-3626
(804) 330-5567

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0904001006
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008908109
VA
Enumeration date
01/03/2007
Last updated
08/06/2010
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