Southside Virginia Traninng Center
Southside Virginia Traninng Center is an Intellectual and/or Developmental Disabilities Residential Treatment Facility 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
26317 W Washington StPetersburg, VA 23803-0030
Phone: (804) 524-7209
Fax: (804) 524-7228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 28892 (VA) |
|---|
Record details
| NPI number | 1093794877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Holland — Facility Director · (804) 524-7209 |
| NPI enumerated | January 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 4030, Petersburg, VA 23803-0030 |
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