OrganizationActive
Compassionate Care Day Support LLC
NPI 1043017353 · Intellectual & Developmental Disabilities Psychologist · Petersburg, VA
Provider details
- NPI number
- 1043017353
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Diane Johnson, Owner(804) 255-6777
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
700 S Sycamore St Ste 5
Petersburg, VA 23803-5804
Phone: (804) 255-6777
Approximate (ZIP-level) locationGet directions
Mailing address
700 S Sycamore St Ste 5
Petersburg, VA 23803-5804
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-02-26
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.