Organization
BEYON VITAL LLC
Active
Other names
Beyon Vital LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIANCA HARRIS (OWNER)
(804) 366-3442
Entity
Organization
Contact information
Practice address
8120 CLOVERTREE CT, NORTH CHESTERFIELD, VA 23235-5372
(804) 366-3442
Mailing address
6511 GLEBE POINT RD, CHESTERFIELD, VA 23838-6167
(804) 366-3442
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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