Organization
RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE WICKENS (EXECUTIVE DIRECTOR)
(540) 373-3223
Entity
Organization
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
(540) 371-3753
Mailing address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-3223
(540) 371-3753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945123
—
VA
05
—
008742511
—
VA
05
—
4978145
—
VA
Enumeration date
04/28/2006
Last updated
03/25/2022
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