Organization
VILLAGE THERAPEUTIC MENTORING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERODNICKER BROWN MA, MBA (PROGRAM DIRECTOR)
(804) 519-4448
Entity
Organization
Contact information
Practice address
1 W CARY ST, RICHMOND, VA 23220-5609
(804) 647-0482
Mailing address
1 W CARY ST, RICHMOND, VA 23220-5609
(804) 647-0482
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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