Organization
DESTINY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE AUGUSTUS ALLEN (PRESIDENT)
(804) 919-4014
Entity
Organization
Contact information
Practice address
1124 W WASHINGTON ST, PETERSBURG, VA 23803-3921
(804) 919-4014
(804) 863-1695
Mailing address
801 KINGSLAND RD, RICHMOND, VA 23231-8342
(804) 919-4014
(804) 863-1695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1322
VA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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