NPI 1356115950

Randolph & Davison Enterprises INC.

Organisation Mental Illness Community Based Residential Treatment Facility Chesterfield, VA

Practice location

Address: 6421 Belmont Rd, Chesterfield, VA 23832-8213
Phone: (804) 605-9845
Fax: (804) 895-7853
Mailing address: 1889 S Sycamore St, Petersburg, VA 23805-2730

Authorised official

Name: Nita Viann Randolph Davison
Title: Ceo
Phone: (804) 605-9845

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Virginia →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1356115950
Entity type: Organization
NPI issued: 14 Nov 2023
Record last updated: 14 Nov 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.