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1023313590
CVSS MENTAL HEALTH SUPPORT
RICHMOND, VA
NPI
1023313590
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Entity Type
Organization
Authorized Contact
DERWIN HICKMAN
Chief Executive Director
804-328-1979
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: VA 792-03-011)
Enumeration Date
2011-01-14
Last Update Date
2011-01-14
Business Address
CVSS MENTAL HEALTH SUPPORT
4220 OAKLEYS CT SUITE B
RICHMOND, VA 23223-5970
Phone number: 804-328-1790
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Mailing Address
CVSS MENTAL HEALTH SUPPORT
5812 NORTHFORD PL
CHESTERFIELD, VA 23832-7590
Phone number: 804-328-1790
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