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Organization

GATEWAYS TO COMMITMENT

Active
Other names
Cox
Organization subpart
No

Provider details

NPI number
Authorized official
RENARD LAVELL COX (DIRECTOR)
(804) 617-0969
Entity
Organization

Contact information

Practice address
3143 ZION ST, RICHMOND, VA 23234-1640
(804) 307-0668
Mailing address
4313 TOSH LN, CHESTER, VA 23831-6855
(804) 307-0668

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
08/21/2023
Last updated
09/25/2023
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