institution
Crater Child Development Clinic
Public Health or Welfare Agency in Petersburg, Virginia
NPI 1164468823

Crater Child Development Clinic is a Public Health or Welfare Agency based in Petersburg, VA. Crater Child Development Clinic practices in Petersburg, VA. The NPI Number for Crater Child Development Clinic is 1164468823 and holds a License No. (Virginia).

The current practice location address for Crater Child Development Clinic is 2002 Wakefield Street, Petersburg, VA and can be reached out via phone at 804-862-6186 and via fax at 804-862-6276.

Location: 2002 Wakefield Street, Petersburg, VA, 23805-2112
institution
Provider Profile Details
NPI Number
1164468823
Provider Name
Crater Child Development Clinic
Credential
Provider Entity Type
Organization
Address
2002 Wakefield Street, Petersburg, VA, 23805-2112
Phone Number
804-862-6186
Fax Number
804-862-6276
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2002 Wakefield Street
City
State
Zip
23805-2112
Phone Number
804-862-6186
Fax Number
804-862-6276
person
Provider Business Mailing Address Details
Address
2002 Wakefield Street
City
State
Zip
23805-2112
Phone Number
804-862-6186
Fax Number
804-862-6276
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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