| Virginia A.b.o.d.e. | |
|
8659 Staples Mill Rd Henrico VA 23228-2718 | |
| (804) 864-2273 | |
| (804) 726-2273 |
| Full Name | Virginia A.b.o.d.e. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8659 Staples Mill Rd, Henrico, Virginia |
| Authorized Official Name and Position | Sebastian Symeonides (CEO) |
| Authorized Official Contact | 8042440802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia A.b.o.d.e. 8659 Staples Mill Rd Henrico VA 23228-2718 Ph: (804) 864-2273 | Virginia A.b.o.d.e. 8659 Staples Mill Rd Henrico VA 23228-2718 Ph: (804) 864-2273 |
| NPI Number | 1427105063 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 05/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427105063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 977 (Virginia) | Primary |
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