Guiding Young Girls, Llc | |
11101 Warwick Blvd Suite A Newport News VA 23601-2396 | |
(757) 595-8008 | |
(757) 595-8002 |
Full Name | Guiding Young Girls, Llc |
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Speciality | Community/behavioral Health |
Location | 11101 Warwick Blvd, Newport News, Virginia |
Authorized Official Name and Position | Corey Antwon Olds (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 7575958008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guiding Young Girls, Llc 11101 Warwick Blvd Suite A Newport News VA 23601-2396 Ph: (757) 595-8008 | Guiding Young Girls, Llc 11101 Warwick Blvd Suite A Newport News VA 23601-2396 Ph: (757) 595-8008 |
NPI Number | 1912242124 |
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Provider Enumeration Date | 11/29/2012 |
Last Update Date | 04/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912242124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1571-01-001 (Virginia) | Primary |
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