Organization
DOMINION BEHAVIORAL HEALTHCARE OF CHESTERFIELD
Active
Organization
DOMINION BEHAVIORAL HEALTHCARE OF CHESTERFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SAMUEL FALK PHD (VICE PRESIDENT)
(804) 794-4482
Entity
Organization
Contact information
Practice address
703 N COURTHOUSE RD, SUITE 101, NORTH CHESTERFIELD, VA 23236-4069
(804) 794-4482
(804) 379-7578
Mailing address
703 N COURTHOUSE RD, SUITE 101, NORTH CHESTERFIELD, VA 23236-4069
(804) 794-4482
(804) 379-7578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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