Professional Alternative Visions LLC
Community/Behavioral Health in Suffolk, VA. Organization (NPI-2).
NPI number1164046249
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1164046249
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Alternative Visions LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2717 E Washington StSuffolk, VA 23434-2619
Phone 252-396-5288
Mailing address
136 Irvin RdMurfreesboro, NC 27855-9621
Phone 252-396-5288
Authorized official
Patricia Ann Vinson
Ceo, Owner
2523965288
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