Healthcare Provider Details

I. General information

NPI: 1750689741
Provider Name (Legal Business Name): FAMILY ARIZEN CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E MAIN ST SUITE 730
RICHMOND VA
23219-2418
US

IV. Provider business mailing address

530 E. MAIN STREET SUITE 720
RICHMOND VA
23219-2322
US

V. Phone/Fax

Practice location:
  • Phone: 804-389-2064
  • Fax: 804-782-8627
Mailing address:
  • Phone: 804-389-2064
  • Fax: 804-782-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1531-05-001
License Number StateVA

VIII. Authorized Official

Name: MS. JOYCE PATTERSON
Title or Position: OWNER
Credential:
Phone: 804-389-2064