| Mission United | |
|
5632 Old Providence Rd Ste A Virginia Beach VA 23464-3967 | |
| (757) 289-7787 | |
| Not Available |
| Full Name | Mission United |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5632 Old Providence Rd Ste A, Virginia Beach, Virginia |
| Authorized Official Name and Position | Marivic Potter (CEO) |
| Authorized Official Contact | 7572897787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission United 5632 Old Providence Rd Ste A Virginia Beach VA 23464-3967 Ph: (757) 289-7787 | Mission United 5632 Old Providence Rd Ste A Virginia Beach VA 23464-3967 Ph: (757) 289-7787 |
| NPI Number | 1447879887 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447879887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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