NPI | 1629001896 |
---|---|
Doing Business As | COMMUNITY-BASED SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | CASSANDRA PETTUS SCARBOROUGH Executive Director 804-340-1845 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 323) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 323-01-0001) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2017-08-29 |