| The Up Center | |
|
800 Tidewater Dr Norfolk VA 23504-3326 | |
| (757) 965-8693 | |
| (757) 502-4960 |
| Full Name | The Up Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Tidewater Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Natasha Fedyszyn-carr (DIRECTOR OF SPECIAL PROGRAMS) |
| Authorized Official Contact | 7579658669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Up Center 800 Tidewater Dr Norfolk VA 23504-3326 Ph: (757) 965-8693 | The Up Center 800 Tidewater Dr Norfolk VA 23504-3326 Ph: (757) 965-8693 |
| NPI Number | 1477882744 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477882744 | NPI | - | NPPES |
| 1629158159 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 346-05-011 (Virginia) | Primary |
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