Organization
SUCCESS4LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOWANDA BROWN (OWNER)
(804) 691-7810
Entity
Organization
Contact information
Practice address
9411 HULL STREET RD, NORTH CHESTERFIELD, VA 23236-1422
(804) 691-7810
Mailing address
1537 CLARKSON RD, RICHMOND, VA 23224-3104
(804) 691-7810
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
09/10/2024
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