Family Enrichment Center, Llc | |
5505 Indian River Rd Suite 100 Virginia Beach VA 23464-5252 | |
(757) 472-4982 | |
(757) 282-2909 |
Full Name | Family Enrichment Center, Llc |
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Speciality | Community/behavioral Health |
Location | 5505 Indian River Rd, Virginia Beach, Virginia |
Authorized Official Name and Position | Susanne E Preston-josey (OWNER, CLINICAL DIRECTOR) |
Authorized Official Contact | 7574724982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Enrichment Center, Llc 5505 Indian River Rd Suite 100 Virginia Beach VA 23464-5252 Ph: (757) 472-4982 | Family Enrichment Center, Llc 5505 Indian River Rd Suite 100 Virginia Beach VA 23464-5252 Ph: (757) 472-4982 |
NPI Number | 1134507973 |
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Provider Enumeration Date | 05/13/2015 |
Last Update Date | 05/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134507973 | NPI | - | NPPES |
1669702445 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0701004100 (Virginia) | Primary |
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