NPI 1003342445
Commonwealth Day Support
Practice location
- Address
- 500 S Sycamore St, Petersburg, VA 23803-5046
- Phone
- (804) 908-4635
- Mailing address
- 5601 Hull Street Rd, Richmond, VA 23224-2839
Authorised official
- Name
- Gerry Rawlinson
- Title
- Executive Director
- Phone
- (804) 908-4635
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003342445
- Entity type
- Organization
- NPI issued
- 4 May 2017
- Record last updated
- 4 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.