NPI 1184461204
The Club House of Virginia, INC.
Practice location
- Address
- 2221 E Parham Rd STE a, Henrico, VA 23228-2239
- Phone
- (804) 721-3073
- Mailing address
- 12501 Chesdin Landing Dr, Chesterfield, VA 23838-3230
Authorised official
- Name
- Ruben C Gracia
- Title
- Owner
- Phone
- (804) 721-3073
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1184461204
- Entity type
- Organization
- NPI issued
- 15 Jul 2024
- Record last updated
- 15 Jul 2024
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.