Organization
FAMILY COUNSELING CENTER FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ADCOCK LCSW (PROGRAM DIRECTOR)
(540) 735-9350
Entity
Organization
Contact information
Practice address
905 SOUTHLAKE BLVD STE C, NORTH CHESTERFIELD, VA 23236-3955
(804) 419-0492
(804) 419-0500
Mailing address
905 SOUTHLAKE BLVD STE C, NORTH CHESTERFIELD, VA 23236-3955
(804) 419-0492
(804) 419-0500
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0701006241
VA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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