Organization
GLAAD SERVICESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PARIS MONAE MORTON (OWNER)
(757) 343-3924
Entity
Organization
Contact information
Practice address
1582 MOUNTAIN RD, GLEN ALLEN, VA 23060-3915
(757) 343-3924
Mailing address
1582 MOUNTAIN RD, GLEN ALLEN, VA 23060-3915
(757) 343-3924
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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