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850 Statler Blvd. Ste 120 #1031 Staunton VA 24401 | |
| (240) 203-4457 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 Statler Blvd. Ste 120 #1031, Staunton, Virginia |
| Authorized Official Name and Position | Adeline Takoh Ngum Mangwa (CEO) |
| Authorized Official Contact | 9179798759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23 Locust Hill Ln Fishersville VA 22939-2247 Ph: (240) 898-7692 | 850 Statler Blvd. Ste 120 #1031 Staunton VA 24401 Ph: (240) 203-4457 |
| NPI Number | 1649099359 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649099359 | NPI | - | NPPES |
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