Organization · Type 2 NPI

District 19 Community Services Board

Community/Behavioral Health Agency · Petersburg, VA

NPI number 1225094451 Active

Practice location

20 W Bank St, Suite 2
Petersburg, VA 23803-3279

Fax (804) 863-1665

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Early Intervention Provider Agency	252Y00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

46 other providers at this address

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NPI record

NPI: 1225094451
Entity type: Organization (Type 2)
Issued: Apr 25, 2006
Last updated: Jul 30, 2009
Status: Active

Other names

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District 19 Mental Health and Mental Retardation Services · former legal business name

Authorized official

Mr. Joseph E. Hubbard, C.P.A.
Executive Director
(804) 862-8054

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225094451

District 19 Community Services Board's National Provider Identifier is 1225094451, issued on Apr 25, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Petersburg, VA. The record was last updated on Jul 30, 2009.