Healthcare Provider Details

I. General information

NPI: 1528987401
Provider Name (Legal Business Name): CENTRAL RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 CANASTA DR
NORTH CHESTERFIELD VA
23234-8300
US

IV. Provider business mailing address

5500 CANASTA DR
NORTH CHESTERFIELD VA
23234-8300
US

V. Phone/Fax

Practice location:
  • Phone: 804-259-3500
  • Fax: 804-259-3301
Mailing address:
  • Phone: 804-259-3500
  • Fax: 804-259-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. VERNEE LISA RICKS
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 804-230-9042