Organization
PATRICK HENRY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA WILLIAMS LPC (DIRECTOR)
(804) 999-7441
Entity
Organization
Contact information
Practice address
22840 PATRICK HENRY HWY, JETERSVILLE, VA 23083-2803
(410) 353-8724
Mailing address
22840 PATRICK HENRY HWY, JETERSVILLE, VA 23083-2803
(804) 999-7441
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
05/06/2026
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