SOUTHSIDE VIRGINIA TRANINNG CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Petersburg, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SOUTHSIDE VIRGINIA TRANINNG CENTER NPI is 1093794877. The provider is registered as an organization entity type.
The provider's business location address is:
26317 W WASHINGTON ST
PETERSBURG, VA
ZIP 23803-030
Phone: (804) 524-7209
Fax: (804) 524-7228
The provider's authorized official is John A. Holland .
The authorized official title is Facility Director and has the following contact phone number (804) 524-7209.
The CLIA number assigned to this NPI record is 49D2101764 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/11/2006 and was last updated on 8/22/2020.