| Circle Of Security In-home Network | |
|
914 E Jefferson St Charlottesville VA 22902-4745 | |
| (434) 984-2722 | |
| Not Available |
| Full Name | Circle Of Security In-home Network |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 914 E Jefferson St, Charlottesville, Virginia |
| Authorized Official Name and Position | Archer Maness (DIRECTOR) |
| Authorized Official Contact | 4348253626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Security In-home Network 914 E Jefferson St Charlottesville VA 22902-4745 Ph: () - | Circle Of Security In-home Network 914 E Jefferson St Charlottesville VA 22902-4745 Ph: (434) 984-2722 |
| NPI Number | 1073348504 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073348504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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