| Child Advocacy Center | |
|
1001 E Broad St Ll 40 Richmond VA 23219-1928 | |
| (804) 643-7226 | |
| Not Available |
| Full Name | Child Advocacy Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1001 E Broad St, Richmond, Virginia |
| Authorized Official Name and Position | Lisa Wright (CAC MH PROGRAM COORDINATOR) |
| Authorized Official Contact | 8046437226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Advocacy Center 103 E Grace St Richmond VA 23219-1741 Ph: () - | Child Advocacy Center 1001 E Broad St Ll 40 Richmond VA 23219-1928 Ph: (804) 643-7226 |
| NPI Number | 1114237476 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114237476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004755 (Virginia) | Primary |
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