| Gifted Enterprises Llc | |
|
22 Research Dr Ste 101a Hampton VA 23666-1787 | |
| (757) 358-3677 | |
| Not Available |
| Full Name | Gifted Enterprises Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22 Research Dr Ste 101a, Hampton, Virginia |
| Authorized Official Name and Position | Onicka Jovan Daniel (COO/PRESIDENT/CO FOUNDER) |
| Authorized Official Contact | 7573583677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gifted Enterprises Llc 22 Research Dr Ste 101a Hampton VA 23666-1787 Ph: (757) 358-3677 | Gifted Enterprises Llc 22 Research Dr Ste 101a Hampton VA 23666-1787 Ph: (757) 358-3677 |
| NPI Number | 1417501230 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417501230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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