| Rebuilding Transformation Center Llc | |
|
1163 E Atlantic St Ste A South Hill VA 23970-9547 | |
| (804) 912-6243 | |
| Not Available |
| Full Name | Rebuilding Transformation Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1163 E Atlantic St Ste A, South Hill, Virginia |
| Authorized Official Name and Position | Sherrad Dagner (OWNER/CEO) |
| Authorized Official Contact | 8049126243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebuilding Transformation Center Llc 10221 Krause Rd Unit 1495 Chesterfield VA 23832-1260 Ph: () - | Rebuilding Transformation Center Llc 1163 E Atlantic St Ste A South Hill VA 23970-9547 Ph: (804) 912-6243 |
| NPI Number | 1750175121 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750175121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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