| Destini Therapeutic Services | |
|
3152 Halifax Rd Ste E South Boston VA 24592-4906 | |
| (434) 575-0855 | |
| (434) 207-6164 |
| Full Name | Destini Therapeutic Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3152 Halifax Rd Ste E, South Boston, Virginia |
| Authorized Official Name and Position | Jennifer Mangum (CEO) |
| Authorized Official Contact | 4345750855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destini Therapeutic Services 3152-e Halifax Road E South Boston VA 24592-4906 Ph: (434) 575-0855 | Destini Therapeutic Services 3152 Halifax Rd Ste E South Boston VA 24592-4906 Ph: (434) 575-0855 |
| NPI Number | 1275833774 |
|---|---|
| Provider Enumeration Date | 10/30/2010 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275833774 | NPI | - | NPPES |
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