Organization
CLINICAL SERVICES OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BURNETTE SEWARD SALES (CHIEF OPERATING OFFICER)
(804) 562-3317
Entity
Organization
Contact information
Practice address
7206 HULL STREET RD, SUITE 202, RICHMOND, VA 23235-5827
(804) 562-3317
(804) 562-0561
Mailing address
7206 HULL STREET RD, SUITE 202, RICHMOND, VA 23235-5827
(804) 562-3317
(804) 562-0561
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1257
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257
—
VA
Enumeration date
03/16/2009
Last updated
03/16/2009
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