Provider Demographics
NPI:1275017667
Name:CENTER OF ATTENTION SERVICES LLC
Entity Type:Organization
Organization Name:CENTER OF ATTENTION SERVICES LLC
Other - Org Name:CENTER OF ATTENTION SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OBAFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:804-503-1991
Mailing Address - Street 1:2798 RAMBLING ROSE CT
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-2700
Mailing Address - Country:US
Mailing Address - Phone:805-895-0515
Mailing Address - Fax:
Practice Address - Street 1:2798 RAMBLING ROSE CT
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-2700
Practice Address - Country:US
Practice Address - Phone:805-895-0515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1275017667Medicaid
VA3038Medicaid