| Acacia Health Partners | |
|
320 E Broadway Ste 214 Hopewell VA 23860-2812 | |
| (804) 687-5601 | |
| Not Available |
| Full Name | Acacia Health Partners |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 320 E Broadway Ste 214, Hopewell, Virginia |
| Authorized Official Name and Position | Nasr Rabbi Basir Balla (OWNER) |
| Authorized Official Contact | 8046875601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Health Partners 320 E Broadway Ste 214 Hopewell VA 23860-2812 Ph: (804) 687-5601 | Acacia Health Partners 320 E Broadway Ste 214 Hopewell VA 23860-2812 Ph: (804) 687-5601 |
| NPI Number | 1487383626 |
|---|---|
| Provider Enumeration Date | 06/05/2022 |
| Last Update Date | 06/05/2022 |
| Certification Date | 06/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487383626 | NPI | - | NPPES |
| 1962075572 | Other | VA | NPI |
| 0024182223 | Other | VA | NURSE PRACTITIONER LICENSE |
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