Whalio Doctors

NPI 1205184157

Positive Living Choices LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Petersburg, VA

Practice location

Address
1735 Monticello St, Petersburg, VA 23805-1640
Phone
(704) 726-7780
Mailing address
PO Box 303, Colonial Heights, VA 23834-0303

Authorised official

Name
Carlos Wilkins
Title
Co-Owner
Phone
(804) 647-4358

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Physical Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320700000X

Registry record

NPI
1205184157
Entity type
Organization
NPI issued
27 Aug 2012
Record last updated
27 Aug 2012

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.