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Organization

CHILD SAVERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MAVIS MINTAAH MSW, SUPERVISEE (CLINICIAN I)
(804) 644-9590
Entity
Organization

Contact information

Practice address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590
Mailing address
200 N 22ND ST, RICHMOND, VA 23223-7020
(804) 644-9590

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/25/2015
Last updated
05/25/2015
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