Organization
ENVISION ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA R JONES RN, BS, MHSA (PRESIDENT)
(804) 862-8300
Entity
Organization
Contact information
Practice address
15 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 862-8300
(804) 862-8302
Mailing address
15 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 862-8300
(804) 862-8302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
152605001
VA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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