Coastal Center For Connection
Clinic/Center, Mental Health (Including Community Mental Health Center) in Virginia Beach, VA. Organization (NPI-2).
NPI number1659011237
StatusActive
Last updated in NPPESMar 31, 2022
Details
- NPI
- 1659011237
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Center For Connection
- Organization subpart
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Mar 30, 2022
- Last updated
- Mar 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
317 Office Square Ln Ste B101Virginia Beach, VA 23462-3652
Phone 757-403-4953
Mailing address
9518 3rd Bay St Unit 120Norfolk, VA 23518-1013
Phone 760-421-8455
Authorized official
Traci Whitley
Owner
7604218455
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