Healthcare Provider Details

I. General information

NPI: 1356562011
Provider Name (Legal Business Name): PREVENT CHILD ABUSE VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 THREE CHOPT RD RM 212
RICHMOND VA
23229-4800
US

IV. Provider business mailing address

8100 THREE CHOPT RD RM 212
RICHMOND VA
23229-4800
US

V. Phone/Fax

Practice location:
  • Phone: 804-783-2667
  • Fax: 804-783-2723
Mailing address:
  • Phone: 804-783-2667
  • Fax: 804-783-2723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA M DARLING
Title or Position: COO
Credential: MPA
Phone: 804-332-6550