Organization
VIGILANT MINDZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN LAMONT MINTER B.S.W (C.E,O)
(804) 306-0163
Entity
Organization
Contact information
Practice address
530 E MAIN ST, SUITE 210, RICHMOND, VA 23219-2418
(804) 612-2994
Mailing address
9709 TARTUFFE DR, RICHMOND, VA 23238-4930
(804) 612-2994
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1152-02-029
VA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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