Organization
HAIRSTON & ASSOCIATES THERAPEUTIC AND COMMUNITY TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA HAIRSTON (OWNER)
(804) 221-8351
Entity
Organization
Contact information
Practice address
1905 HUGUENOT RD STE 308, NORTH CHESTERFIELD, VA 23235-4312
(804) 221-8351
Mailing address
16170 BUCKFAST PL, BEAVERDAM, VA 23015-1571
(804) 221-8351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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