Organization
DC RECREATIONS & RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA MERRIWETHER (EXECUTIVE DIRECTOR)
(804) 625-1770
Entity
Organization
Contact information
Practice address
405 EAST LABURNUM AVE, SUITE 3, HENRICO, VA 23222
(804) 625-1770
Mailing address
7916 PROVINCETOWN DR, NORTH CHESTERFIELD, VA 23235-5324
(631) 299-9707
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
12/06/2023
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