Edgewood Group Family Services

NPI 1043518061 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1043518061
Enumeration Date 03/01/2011
Last Updated 03/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TRAVIS TRAVIS
Position DOS
Phone (804) 648-0671
Fax (804) 648-0672
Practice Location
4906 FITZHUGH AVE STE 104
RICHMOND VA, 23230-3520, US
Phone (804) 648-0671
Fax (804) 648-0672
Business Location
4906 FITZHUGH AVE STE 104
RICHMOND VA, 23230-3520, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Virginia
License Number 709
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According to our database, Edgewood Group Family Services NPI is 1043518061, taxonomy code is 251S00000X and license number is 709, license state is located at Virginia. Edgewood Group Family Services physically located at 4906 Fitzhugh Ave Ste 104, Richmond VA, 23230-3520. NPI Number 1033115704 has the healthcare provider type.

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1043518061 NPI number is provided on an as is basis without warranty of any kind. 1043518061 is maintained by the National Plan & Provider Enumeration System. The contents of Edgewood Group Family Services are for informational purposes only.