Organization
IMPACT COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORASHA BLANDING (OWNER)
(804) 677-9456
Entity
Organization
Contact information
Practice address
10310 MEMORY LN, STE. 1A, CHESTERFIELD, VA 23832-8828
(804) 677-9456
Mailing address
10310 MEMORY LN, STE. 1A, CHESTERFIELD, VA 23832-8828
(804) 677-9456
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0167355236
VA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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