Organization · NPI-2

About The Minors

Recreation Therapist · Petersburg, VA

NPI number1093401671
StatusActive
Last updated in NPPESApr 17, 2023

Details

NPI
1093401671
Entity type
Organization (NPI-2)
Legal business name
About The Minors
Organization subpart
No
Enumeration date
Apr 17, 2023
Certification date
Apr 15, 2023
Last updated
Apr 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist––Yes
225A00000X Music Therapist––
226000000X Recreational Therapist Assistant––
374T00000X Religious Nonmedical Nursing Personnel––

Practice location

13 N Sycamore St
Petersburg, VA 23803-3233

Phone 804-295-3382

Mailing address

2421 Fort Lee Rd
Petersburg, VA 23803-4857

Phone 804-295-3382

Authorized official

Mary Scott
Director/Owner
8042953382

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