NPI 1316695497
EMS VA LLC
Practice location
- Address
- 3540 E Broad St STE 120-402, Mansfield, TX 76063-5633
- Phone
- (804) 332-5696
- Mailing address
- 707 N Courthouse Rd, North Chesterfield, VA 23236-4045
Authorised official
- Name
- Suzanne M Christopher
- Title
- Director
- Phone
- (540) 809-1882
Registered specialties (3)
Community/Behavioral Health Agency
Primary
Case Management Agency
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1316695497
- Entity type
- Organization
- NPI issued
- 16 Mar 2022
- Record last updated
- 10 Oct 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.