Organization
ST. JOSEPH'S VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LYNN FAISON M.S. (CHIEF OPERATIONS OFFICER)
(804) 553-3249
Entity
Organization
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3200
(804) 553-3259
Mailing address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3200
(804) 553-3259
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946031
—
VA
01
—
1962466706
OTHER NPI NUMBER FOR ST. JOSEPH'S VILLA
VA
Enumeration date
11/04/2008
Last updated
11/04/2008
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