Organization Name: | COMMITTED COUNSELING PROGRAM |
NPI Number: | 1548518293 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUHAMMAD ALAMIN (PROGRAM DIRECTOR) |
Mailing Address: | 2317 Westwood Ave Suite # 208 Richmond |
State: | VA US |
Postal Code: | 232304007 |
Phone Number: | 8049019588 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 1593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |