| Inner Circle, Incorporated | |
|
2204 Executive Dr Ste A Hampton VA 23666-6602 | |
| (757) 644-3989 | |
| Not Available |
| Full Name | Inner Circle, Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2204 Executive Dr Ste A, Hampton, Virginia |
| Authorized Official Name and Position | Valdimir Demont Handy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7578183341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Circle, Incorporated 2204 Executive Dr Ste A Hampton VA 23666-6602 Ph: (757) 644-3989 | Inner Circle, Incorporated 2204 Executive Dr Ste A Hampton VA 23666-6602 Ph: (757) 644-3989 |
| NPI Number | 1205184413 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205184413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1693 (Virginia) | Primary |
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