Paragon Medical & Therapeutic Services Of Ohio | |
7400 Justice Dr Ste 327 Gloucester VA 23061-6146 | |
(757) 528-5807 | |
Not Available |
Full Name | Paragon Medical & Therapeutic Services Of Ohio |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 7400 Justice Dr Ste 327, Gloucester, Virginia |
Authorized Official Name and Position | Antonio Richard King (CLINICAL DIRECTOR) |
Authorized Official Contact | 7577130385 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paragon Medical & Therapeutic Services Of Ohio 303 Meadowlake Rd Yorktown VA 23693-3617 Ph: (757) 713-0385 | Paragon Medical & Therapeutic Services Of Ohio 7400 Justice Dr Ste 327 Gloucester VA 23061-6146 Ph: (757) 528-5807 |
NPI Number | 1235986431 |
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Provider Enumeration Date | 05/04/2024 |
Last Update Date | 05/04/2024 |
Certification Date | 05/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235986431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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