Provider Demographics
NPI:1912155847
Name:COMMUNITY ALTERNATIVES OF VA
Entity type:Organization
Organization Name:COMMUNITY ALTERNATIVES OF VA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:QA COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNKUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-714-1812
Mailing Address - Street 1:PO BOX 37190
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-7190
Mailing Address - Country:US
Mailing Address - Phone:804-714-1812
Mailing Address - Fax:804-714-1824
Practice Address - Street 1:3801 LAKE HILLS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-3664
Practice Address - Country:US
Practice Address - Phone:804-714-1812
Practice Address - Fax:804-714-1824
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty