Provider Demographics
NPI:1457587412
Name:PROJECT COMMUNITY II, INC.
Entity type:Organization
Organization Name:PROJECT COMMUNITY II, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS BC
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-714-8336
Mailing Address - Street 1:PO BOX 25212
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23260-5212
Mailing Address - Country:US
Mailing Address - Phone:804-714-8336
Mailing Address - Fax:804-767-6248
Practice Address - Street 1:2907 CHAMBERLAYNE AVE
Practice Address - Street 2:SUITE: 3
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-3542
Practice Address - Country:US
Practice Address - Phone:804-714-8336
Practice Address - Fax:804-767-6248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable