| Viking Behavioral Services Llc | |
|
10168 Portsmouth Rd Apt #6 Manassas VA 20109-8047 | |
| (303) 875-5869 | |
| Not Available |
| Full Name | Viking Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10168 Portsmouth Rd, Manassas, Virginia |
| Authorized Official Name and Position | Craig Viking Gross (DIRECTOR OF CONSULTATION SERVICES) |
| Authorized Official Contact | 3038755869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viking Behavioral Services Llc Po Box 3074 Manassas VA 20108-0918 Ph: (303) 875-5869 | Viking Behavioral Services Llc 10168 Portsmouth Rd Apt #6 Manassas VA 20109-8047 Ph: (303) 875-5869 |
| NPI Number | 1144608142 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144608142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15L20280 (Virginia) | Primary |
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