Provider Demographics
NPI:1033454657
Name:BEHAVIORAL HEALTH SERVICES OF VIRGINIA CORPORATION
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH SERVICES OF VIRGINIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-873-5502
Mailing Address - Street 1:8604 PENNSBURY PL APT 3
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4808
Mailing Address - Country:US
Mailing Address - Phone:804-873-5502
Mailing Address - Fax:540-908-3965
Practice Address - Street 1:8604 PENNSBURY PL APT 3
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4808
Practice Address - Country:US
Practice Address - Phone:804-873-5502
Practice Address - Fax:540-908-3965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health