Provider Demographics
NPI:1881462604
Name:AFTER EFFECT BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:AFTER EFFECT BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-274-9348
Mailing Address - Street 1:405 E LABURNUM AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2134
Mailing Address - Country:US
Mailing Address - Phone:804-274-9348
Mailing Address - Fax:804-800-4052
Practice Address - Street 1:405 E LABURNUM AVE STE 1
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2134
Practice Address - Country:US
Practice Address - Phone:804-274-9348
Practice Address - Fax:804-800-4052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health