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NPI Code Detail

MEDICARE: SUBSTANCE ABUSE CONSULTING SERVICES, INC.

MEDICARE: SUBSTANCE ABUSE CONSULTING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency0710101714VA

General Provider Information

NPI Number : 1891951489
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUBSTANCE ABUSE CONSULTING SERVICES, INC.
Provider Business Mailing Address
First Line : 4906 FITZHUGH AVE
Second Line : SUITE 101
City : RICHMOND
State : VA
Zip : 23230-3526
Country : US
Telephone Number : 804-282-7491
Fax Number : 804-282-7492
Provider Business Practice Location Address
First Line : 4906 FITZHUGH AVE
Second Line : SUITE 101
City : RICHMOND
State : VA
Zip : 23230-3526
Country : US
Telephone Number : 804-282-7491
Fax Number : 804-282-7492
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. RONALD DEAN SMITH
Credential : CSAC, ACBSW, CST
Telephone Number : 804-282-7491
Provider Enumeration Date : 08/02/2008
Last Update Date : 08/02/2008

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