Provider Demographics
NPI:1396104410
Name:MAMA REES CHILD DEVELOPMENT CENTER
Entity type:Organization
Organization Name:MAMA REES CHILD DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1202-413-7545
Mailing Address - Street 1:4501 WILLIAMSBURG RD STE L
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2748
Mailing Address - Country:US
Mailing Address - Phone:804-222-1648
Mailing Address - Fax:
Practice Address - Street 1:4501 WILLIAMSBURG RD STE L
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2748
Practice Address - Country:US
Practice Address - Phone:804-222-1648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance TherapistGroup - Single Specialty