Provider Demographics
NPI:1528780848
Name:OPPORTUNITIES FOR A BETTER TOMORROW, LLC
Entity type:Organization
Organization Name:OPPORTUNITIES FOR A BETTER TOMORROW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CADDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-S
Authorized Official - Phone:804-909-3497
Mailing Address - Street 1:10109 KRAUSE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6501
Mailing Address - Country:US
Mailing Address - Phone:804-909-3497
Mailing Address - Fax:
Practice Address - Street 1:10109 KRAUSE RD STE 201
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6501
Practice Address - Country:US
Practice Address - Phone:804-909-3497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)