Organization
PROLIFIC LIFE SERVICES
Active
Other names
Prolific Life Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIUS ROBINSON (PROGRAM MANAGER)
(804) 234-4084
Entity
Organization
Contact information
Practice address
4615 W BROAD ST, RICHMOND, VA 23230-3243
(804) 234-4084
(804) 915-1229
Mailing address
4615 W BROAD ST STE 123, RICHMOND, VA 23230-3243
(804) 234-4084
(804) 915-1229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
11/15/2023
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