Organization
BROOKFIELD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY M READING (EXECUTIVE DIRECTOR)
(804) 266-7631
Entity
Organization
Contact information
Practice address
10187 BROOK RD, GLEN ALLEN, VA 23059-6508
(804) 266-7631
(804) 264-6127
Mailing address
10187 BROOK RD, GLEN ALLEN, VA 23059-6508
(804) 266-7631
(804) 264-6127
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0904006443
VA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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