NPI | 1861096679 |
---|---|
Doing Business As | HIS SERVICE CENTER, LLC |
Entity Type | Organization |
Authorized Contact | MELANIE SUSANE JONES Clinical Director 804-433-8247 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-11-23 |
Last Update Date | 2020-11-23 |