Mainstream Mental Health Services, Inc | |
1616 Roanoke Rd Daleville VA 24083-2919 | |
(540) 309-4836 | |
Not Available |
Full Name | Mainstream Mental Health Services, Inc |
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Speciality | Community/behavioral Health |
Location | 1616 Roanoke Rd, Daleville, Virginia |
Authorized Official Name and Position | Michael Preston Morris (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5403094836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mainstream Mental Health Services, Inc Po Box 745 Daleville VA 24083-0745 Ph: (540) 309-4836 | Mainstream Mental Health Services, Inc 1616 Roanoke Rd Daleville VA 24083-2919 Ph: (540) 309-4836 |
NPI Number | 1700150166 |
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Provider Enumeration Date | 03/02/2012 |
Last Update Date | 06/13/2012 |
Identifier | Type | State | Issuer |
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1700150166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 1877-03-001 (Virginia) | Primary |