Crater Child Development Clinic
Crater Child Development Clinic is a Public Health or Welfare Agency in Petersburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
2002 Wakefield StPetersburg, VA 23805-2112
Phone: (804) 862-6186
Fax: (804) 862-6276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health or Welfare Agency (primary) | Taxonomy 251K00000X (VA) |
|---|
Record details
| NPI number | 1164468823 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Royster — District Health Director · (804) 863-1663 |
| NPI enumerated | June 21, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2002 Wakefield Ave, Petersburg, VA 23805-2112 |
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