NPI 1760663306

Mmj Family Services

Organisation Exclusive Provider Organization Richmond, VA

Practice location

Address: 7435 Midlothian Tpke, Richmond, VA 23225-6411
Phone: (804) 745-1250
Fax: (804) 745-1172
Mailing address: PO Box 2080, Chesterfield, VA 23832-9110

Authorised official

Name: Tawanna Chena Mitchell-Jones
Title: Clinical Director
Phone: (804) 745-1250

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1760663306
Entity type: Organization
NPI issued: 26 Nov 2007
Record last updated: 26 Nov 2007

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.