Organization
COMMUNITY WELLNESS & SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE HARRIS (DIRECTOR OF SERVICES)
(804) 909-2891
Entity
Organization
Contact information
Practice address
34 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805-9283
(804) 909-2891
(804) 441-9089
Mailing address
34 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805-9283
(804) 441-9089
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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