| Mdevans Adult Residential & Dss Training | |
|
5660 E Virginia Beach Blvd Suite 102 Norfolk VA 23502-2468 | |
| (757) 469-9604 | |
| Not Available |
| Full Name | Mdevans Adult Residential & Dss Training |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5660 E Virginia Beach Blvd, Norfolk, Virginia |
| Authorized Official Name and Position | Fiata D Jones (MANAGING MEMBER) |
| Authorized Official Contact | 7574969604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdevans Adult Residential & Dss Training 5660 E Virginia Beach Blvd Suite 102 Norfolk VA 23502-2468 Ph: () - | Mdevans Adult Residential & Dss Training 5660 E Virginia Beach Blvd Suite 102 Norfolk VA 23502-2468 Ph: (757) 469-9604 |
| NPI Number | 1265833081 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265833081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 916149 (Virginia) | Primary |
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