| Camp Loud | |
|
3280 Academy Ave Portsmouth VA 23703-3203 | |
| (757) 271-4555 | |
| Not Available |
| Full Name | Camp Loud |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3280 Academy Ave, Portsmouth, Virginia |
| Authorized Official Name and Position | Myra Smith-jones (OWNER) |
| Authorized Official Contact | 7576098914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Loud 3280 Academy Ave Portsmouth VA 23703-3203 Ph: (757) 271-4555 | Camp Loud 3280 Academy Ave Portsmouth VA 23703-3203 Ph: (757) 271-4555 |
| NPI Number | 1164918496 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164918496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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