Provider Demographics
NPI:1114366978
Name:LA SOLUCION FAMILIAR SERVICIOS PARA ADULTOS Y NINOS
Entity Type:Organization
Organization Name:LA SOLUCION FAMILIAR SERVICIOS PARA ADULTOS Y NINOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA-SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP
Authorized Official - Phone:804-551-3470
Mailing Address - Street 1:221 RUTHERS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5395
Mailing Address - Country:US
Mailing Address - Phone:804-447-0421
Mailing Address - Fax:
Practice Address - Street 1:221 RUTHERS RD STE 204
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5395
Practice Address - Country:US
Practice Address - Phone:804-447-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1763251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health