Organization
ADVANCED BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN THOMAS VON KLEISS PSYD (CEO- CLINICAL PSYCHOLOGIST)
(804) 539-2557
Entity
Organization
Contact information
Practice address
1241 MALL DR, NORTH CHESTERFIELD, VA 23235-4879
(804) 539-2557
Mailing address
7514 VAN HOY DR, NORTH CHESTERFIELD, VA 23235-6454
(804) 539-2557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0810004544
VA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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