Whalio Doctors

NPI 1093411928

Jumpstart Residential Services INC

Organisation Substance Abuse Rehabilitation Facility Midlothian, VA

Practice location

Address
1618 Kirkgate Ln, Midlothian, VA 23114-3248
Phone
(804) 368-5640
Fax
(804) 895-7914

Authorised official

Name
Robin Renee Russell
Title
Owner
Phone
(804) 368-5640

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1093411928
Entity type
Organization
NPI issued
2 Feb 2023
Record last updated
2 Feb 2023

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.