| Dynox Intensive In-home Program | |
|
11815 Fountain Way Ste 360 Newport News VA 23606 | |
| (757) 696-8670 | |
| Not Available |
| Full Name | Dynox Intensive In-home Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11815 Fountain Way Ste 360, Newport News, Virginia |
| Authorized Official Name and Position | Tony Williams (CEO) |
| Authorized Official Contact | 7576968670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynox Intensive In-home Program Po Box 2063 Newport News VA 23609-0063 Ph: (757) 696-8670 | Dynox Intensive In-home Program 11815 Fountain Way Ste 360 Newport News VA 23606 Ph: (757) 696-8670 |
| NPI Number | 1700153418 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700153418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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