| Greater Passage Llc | |
|
271 Brittlebrush Dr Portsmouth VA 23701-4327 | |
| (904) 742-3332 | |
| Not Available |
| Full Name | Greater Passage Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 271 Brittlebrush Dr, Portsmouth, Virginia |
| Authorized Official Name and Position | Mynesha Jordan (DIRECTOR) |
| Authorized Official Contact | 7577787056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Passage Llc 271 Brittlebrush Dr Portsmouth VA 23701-4327 Ph: (904) 742-3332 | Greater Passage Llc 271 Brittlebrush Dr Portsmouth VA 23701-4327 Ph: (904) 742-3332 |
| NPI Number | 1972360774 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972360774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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