| Phase One, Llc | |
|
6420 Sexton Dr Richmond VA 23224-5674 | |
| (804) 482-1372 | |
| Not Available |
| Full Name | Phase One, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6420 Sexton Dr, Richmond, Virginia |
| Authorized Official Name and Position | Danielle Hunt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8044821372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phase One, Llc Po Box 75222 Richmond VA 23236-0021 Ph: (804) 482-1372 | Phase One, Llc 6420 Sexton Dr Richmond VA 23224-5674 Ph: (804) 482-1372 |
| NPI Number | 1861722613 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861722613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1311-03-001 (Virginia) | Primary |
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