Organization
LIFE COACH COMMUNITY SERVICES OF VIRGINIA, INC.
Active
Organization
LIFE COACH COMMUNITY SERVICES OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ALEXANDER PARSON JR. (CEO)
(804) 230-4760
Entity
Organization
Contact information
Practice address
180 BELT BLVD, RICHMOND, VA 23224-1204
(804) 230-4760
(804) 230-4766
Mailing address
PO BOX 74100, RICHMOND, VA 23236-0002
(804) 230-4760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
788
VA
251S00000X
Community/Behavioral Health Agency
788-17-001
VA
Other
Enumeration date
01/24/2010
Last updated
02/11/2010
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