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General NPI Number Information
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NPI Number | 1548036692
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Entity Type | Organization
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Legal Business Name | ROCK BEHAVIORAL HEALTH GROUP
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 749 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1598
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Country | US
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Telephone | 757-209-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 749 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1598
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Country | US
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Telephone | 757-752-3939
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ESTHER MILES
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Credential |
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Telephone | 757-902-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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