Provider Demographics
NPI:1811248032
Name:RCG BEHAVIORAL HEALTH NETWORK
Entity type:Organization
Organization Name:RCG BEHAVIORAL HEALTH NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE & OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-721-6222
Mailing Address - Street 1:3530 POST OFFICE RD UNIT 4563
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-0923
Mailing Address - Country:US
Mailing Address - Phone:804-491-9543
Mailing Address - Fax:
Practice Address - Street 1:1107 ALVERSER DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2655
Practice Address - Country:US
Practice Address - Phone:804-897-1753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency