Comprehensive Behavioral Care | |
8513 Oakview Ave Richmond VA 23228-2818 | |
(804) 909-7609 | |
(888) 415-6554 |
Full Name | Comprehensive Behavioral Care |
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Speciality | Community/Behavioral Health |
Location | 8513 Oakview Ave, Richmond, Virginia |
Authorized Official Name and Position | Brian Keith Smith (CEO) |
Authorized Official Contact | 8049097609 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Behavioral Care 8513 Oakview Ave Richmond VA 23228-2818 Ph: (804) 909-7609 | Comprehensive Behavioral Care 8513 Oakview Ave Richmond VA 23228-2818 Ph: (804) 909-7609 |
NPI Number | 1427193317 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4880966407 |
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Medicare Enrollment ID | O20170816004501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427193317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1114 (Virginia) | Primary |
Provider Name | Suresh Purushottam Gharse |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629157383 PECOS PAC ID: 7315105673 Enrollment ID: I20120216000446 |
Provider Name | Kim Yen T Vu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881063659 PECOS PAC ID: 2163711334 Enrollment ID: I20160512000197 |
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