Organization
COMMUNITY VENTURES MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP DEBERRY JR. (CHIEF ADMINISTRATIVE OFFICER)
(410) 480-0019
Entity
Organization
Contact information
Practice address
8393 CARDOVA CIR, RICHMOND, VA 23227-1548
(410) 480-0019
(410) 313-8432
Mailing address
PO BOX 325, WOODSTOCK, MD 21163-0325
(410) 480-0019
(410) 313-8432
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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