| Potomac Behavioral Health Llc | |
|
7731 Milton Cir Gainesville VA 20155-3638 | |
| (678) 907-6518 | |
| Not Available |
| Full Name | Potomac Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7731 Milton Cir, Gainesville, Virginia |
| Authorized Official Name and Position | Nysa Marinda Paysour (PSYCHIATRIST/ REPRESENTATIVE) |
| Authorized Official Contact | 6789076518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Behavioral Health Llc 7731 Milton Cir Gainesville VA 20155-3638 Ph: (678) 907-6518 | Potomac Behavioral Health Llc 7731 Milton Cir Gainesville VA 20155-3638 Ph: (678) 907-6518 |
| NPI Number | 1487146791 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487146791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101254242 (Virginia) | Primary |
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