Organization
A GREATER DESTINY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DANIELLE HAIRSTON (CEO)
(434) 228-4419
Entity
Organization
Contact information
Practice address
402 MELROSE DR, DANVILLE, VA 24540-2212
(434) 228-4419
(434) 228-4433
Mailing address
402 MELROSE DR, DANVILLE, VA 24540-2212
(434) 228-4419
(434) 228-4433
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
05/14/2020
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