| Depay Crisis Response Services, Llc | |
|
215 Henry St Petersburg VA 23803-3318 | |
| (804) 605-2349 | |
| Not Available |
| Full Name | Depay Crisis Response Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 Henry St, Petersburg, Virginia |
| Authorized Official Name and Position | Taiwo Joseph Onadipe (OWNER) |
| Authorized Official Contact | 8046052349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depay Crisis Response Services, Llc 215 Henry St Petersburg VA 23803-3318 Ph: (804) 605-2349 | Depay Crisis Response Services, Llc 215 Henry St Petersburg VA 23803-3318 Ph: (804) 605-2349 |
| NPI Number | 1639932338 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639932338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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