Basic Information
| Provider Information | |||||||||
| NPI: | 1386199594 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | RICHMOND BEHAVIORAL HEALTH AUTHORITY TRANSPORTATION COMPANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 107 S 5TH ST | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232193825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8048194000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4303 W BROAD ST | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232303305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043588421 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2016 | ||||||||
| LastUpdateDate: | 08/17/2016 | ||||||||
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| AuthorizedOfficialLastName: | LEE | ||||||||
| AuthorizedOfficialFirstName: | KAMERON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PROGRAM MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8043858421 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW, CSAC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 343900000X | Y | Transportation Services | Non-emergency Medical Transport (VAN) |
No ID Information.