Organization
CENTEL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ACEY TUCKER (CHIEF EXECUTIVE OFFICER)
(804) 943-6208
Entity
Organization
Contact information
Practice address
803 HINTON ST, SUITE 308, PETERSBURG, VA 23803-3028
(804) 943-6208
Mailing address
PO BOX 2429, PETERSBURG, PETERSBURG, VA 23804-2429
(804) 943-6208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
07266125
VA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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