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NPI Code Detail

MEDICARE: VIRGINIA CENTER FOR HEALTH AND WELLNESS, LLC

MEDICARE: VIRGINIA CENTER FOR HEALTH AND WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225331317
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA CENTER FOR HEALTH AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 4410 CLAIBORNE SQ E
Second Line : 220
City : HAMPTON
State : VA
Zip : 23666-2071
Country : US
Telephone Number : 757-926-0568
Fax Number : 757-838-1895
Provider Business Practice Location Address
First Line : 4410 CLAIBORNE SQ E
Second Line : 220
City : HAMPTON
State : VA
Zip : 23666-2071
Country : US
Telephone Number : 757-926-0568
Fax Number : 757-838-1895
Authorized Official
Title or Position : COO
Name : DR. JONINA MOSKOWITZ
Credential :
Telephone Number : 757-926-0568
Provider Enumeration Date : 12/10/2010
Last Update Date : 07/14/2011

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Directions to “VIRGINIA CENTER FOR HEALTH AND WELLNESS, LLC ” Practice Location

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