Organization
HIS SERVICE CENTER, LLC
Active
Other names
His SERVICE Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SUSANE JONES LCSW (CLINICAL DIRECTOR)
(804) 433-8247
Entity
Organization
Contact information
Practice address
4808 CHATHAM GROVE PL, NORTH CHESTERFIELD, VA 23236-1159
(804) 433-8247
(804) 800-2271
Mailing address
4808 CHATHAM GROVE PL, NORTH CHESTERFIELD, VA 23236-1159
(804) 433-8247
(804) 800-2271
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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