| Bon Secours Maryview Behavioral Medicine Center | |
|
3636 High St Portsmouth VA 23707-3236 | |
| (757) 398-2367 | |
| (757) 393-9343 |
| Full Name | Bon Secours Maryview Behavioral Medicine Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3636 High St, Portsmouth, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Maryview Behavioral Medicine Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Maryview Behavioral Medicine Center 3636 High St Portsmouth VA 23707-3236 Ph: (757) 398-2367 |
| NPI Number | 1841596459 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841596459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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