Organization
ANGEL HOUSE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAMALA BENJAMIN LCSW (PROGRAM DIRECTOR)
(804) 342-4202
Entity
Organization
Contact information
Practice address
3110 GARLAND AVE, RICHMOND, VA 23222-2639
(804) 228-1540
(804) 228-1541
Mailing address
3122 W MARSHALL ST, SUITE 217, RICHMOND, VA 23230-4726
(804) 342-4202
(804) 342-4202
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
683-14-001
VA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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