Youth Of Promise | |
6308 Hot Spring Ln Fredericksburg VA 22407-2577 | |
(540) 322-7751 | |
Not Available |
Full Name | Youth Of Promise |
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Speciality | Community/behavioral Health |
Location | 6308 Hot Spring Ln, Fredericksburg, Virginia |
Authorized Official Name and Position | Kymmollotkis Alicia Yancey (PRESIDENT) |
Authorized Official Contact | 5404451381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youth Of Promise 6308 Hot Spring Ln Fredericksburg VA 22407-2577 Ph: (540) 322-7751 | Youth Of Promise 6308 Hot Spring Ln Fredericksburg VA 22407-2577 Ph: (540) 322-7751 |
NPI Number | 1497227177 |
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Provider Enumeration Date | 12/19/2018 |
Last Update Date | 12/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497227177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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