| East End Academy Inc Southside | |
|
2607 Colonial Avenue Norfolk VA 23517 | |
| (757) 275-7498 | |
| (757) 275-7561 |
| Full Name | East End Academy Inc Southside |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2607 Colonial Avenue, Norfolk, Virginia |
| Authorized Official Name and Position | Ruby Eley (CEO) |
| Authorized Official Contact | 7572757498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Academy Inc Southside 2607 Colonial Ave Norfolk VA 23517-1227 Ph: (757) 275-7498 | East End Academy Inc Southside 2607 Colonial Avenue Norfolk VA 23517 Ph: (757) 275-7498 |
| NPI Number | 1578798849 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578798849 | NPI | - | NPPES |
| 23517 | Medicaid | VA |
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