| Omnipotent Community Network Llc | |
|
3800 Poplar Hill Rd Ste D Chesapeake VA 23321-5522 | |
| (757) 484-3000 | |
| Not Available |
| Full Name | Omnipotent Community Network Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3800 Poplar Hill Rd Ste D, Chesapeake, Virginia |
| Authorized Official Name and Position | Jeanette Whitehead (PRESIDENT) |
| Authorized Official Contact | 7574843000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnipotent Community Network Llc 3800 Poplar Hill Rd Ste D Chesapeake VA 23321-5522 Ph: (757) 484-3000 | Omnipotent Community Network Llc 3800 Poplar Hill Rd Ste D Chesapeake VA 23321-5522 Ph: (757) 484-3000 |
| NPI Number | 1679254353 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679254353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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