Organization
180 DEGREE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JOSHUA HOOD (CEO)
(804) 475-6979
Entity
Organization
Contact information
Practice address
4914 RADFORD AVENUE SUITE 308-A, RICHMOND, VA 23230-3538
(804) 475-6979
Mailing address
4914 RADFORD AVENUE SUITE 308-A AND 305, RICHMOND, VA 23230
(804) 475-6979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
212003001
VA
Other
Enumeration date
04/20/2016
Last updated
11/07/2018
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