Community Outreach Family Services LLC
Community/Behavioral Health in Emporia, VA. Organization (NPI-2).
NPI number1063817088
StatusActive
Last updated in NPPESNov 3, 2014
Details
- NPI
- 1063817088
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Outreach Family Services LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2014
- Last updated
- Nov 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1826 | VA | Yes |
Practice location
409 S Main StEmporia, VA 23847-2313
Phone 919-561-3111 · Fax 866-230-4856
Mailing address
409 S Main StEmporia, VA 23847-2313
Phone 919-561-3111 · Fax 866-230-4856
Authorized official
Jacqueline Mitchell
Ceo
9195613111
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