Organization
PHASE ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE HUNT (EXECUTIVE DIRECTOR)
(804) 482-1372
Entity
Organization
Contact information
Practice address
6420 SEXTON DR, RICHMOND, VA 23224-5674
(804) 482-1372
Mailing address
PO BOX 75222, RICHMOND, VA 23236-0021
(804) 482-1372
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1311-03-001
VA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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