| 7 Cities Outreach Saddle Club, Inc. | |
|
5070 Mineral Spring Rd Suffolk VA 23438-9621 | |
| (757) 218-8233 | |
| Not Available |
| Full Name | 7 Cities Outreach Saddle Club, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5070 Mineral Spring Rd, Suffolk, Virginia |
| Authorized Official Name and Position | Cheryll Marie Hawthorne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7572188233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 7 Cities Outreach Saddle Club, Inc. 5070 Mineral Spring Rd Suffolk VA 23438-9621 Ph: (757) 218-8233 | 7 Cities Outreach Saddle Club, Inc. 5070 Mineral Spring Rd Suffolk VA 23438-9621 Ph: (757) 218-8233 |
| NPI Number | 1346616984 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346616984 | NPI | - | NPPES |
| 1639198153 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0810003069 (Virginia) | Primary |
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