Organization
FAMILY SUCCESS ON SPECTRUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURTADHA A SHAHEEN (MANAGER)
(804) 305-6849
Entity
Organization
Contact information
Practice address
8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
(804) 305-6849
Mailing address
8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
(804) 305-6849
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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