Brothers Keeper INC
Community/Behavioral Health in Chesterfield, VA. Organization (NPI-2).
NPI number1689044398
StatusActive
Last updated in NPPESOct 7, 2015
Details
- NPI
- 1689044398
- Entity type
- Organization (NPI-2)
- Legal business name
- Brothers Keeper INC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2015
- Last updated
- Oct 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
11160 Lyndenwood DrChesterfield, VA 23838-5217
Phone 804-852-1347
Mailing address
1160 Lyndenwood DrChesterfiled, VA 23838
Phone 804-852-1347
Authorized official
David E Banks
Ceo
8043533585
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