L R Minor LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fredericksburg, VA. Organization (NPI-2).
NPI number1508010232
StatusActive
Last updated in NPPESNov 2, 2010
Details
- NPI
- 1508010232
- Entity type
- Organization (NPI-2)
- Legal business name
- L R Minor LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2008
- Last updated
- Nov 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 0904002023 | VA | Yes |
Practice location
910 Princess Anne StSuite 109
Fredericksburg, VA 22401-5844
Phone 540-656-2106 · Fax 540-656-2107
Mailing address
910 Princess Anne StSuite 109
Fredericksburg, VA 22401-5844
Phone 540-656-2106 · Fax 540-656-2107
Authorized official
Linda R Minor
President
5403614330
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