Organization · Type 2 NPI
Crater Child Development Clinic
Public Health or Welfare Agency · Petersburg, VA
NPI number
1164468823
Active
Practice location
2002 Wakefield Street
Petersburg, VA 23805-2112
Fax (804) 862-6276
Mailing address
2002 Wakefield Ave
Petersburg, VA 23805-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
Other public health or welfare agency providers in Petersburg
About NPI 1164468823
Crater Child Development Clinic's National Provider Identifier is 1164468823, issued on Jun 21, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Petersburg, VA. The record was last updated on Aug 22, 2020.