| Adolescent Behavior Services Llc. | |
|
4036 West Ter Chesterfield VA 23832-8380 | |
| (804) 335-7549 | |
| (804) 276-5369 |
| Full Name | Adolescent Behavior Services Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4036 West Ter, Chesterfield, Virginia |
| Authorized Official Name and Position | Kenneth Ray Henderson (CEO) |
| Authorized Official Contact | 8043357457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent Behavior Services Llc. 4036 West Ter Chesterfield VA 23832-8380 Ph: (804) 335-7549 | Adolescent Behavior Services Llc. 4036 West Ter Chesterfield VA 23832-8380 Ph: (804) 335-7549 |
| NPI Number | 1053985150 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053985150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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