| D19crisis | |
|
20 W Bank St Petersburg VA 23803-3279 | |
| (804) 541-6704 | |
| (804) 541-6708 |
| Full Name | D19crisis |
|---|---|
| Speciality | Case Management |
| Location | 20 W Bank St, Petersburg, Virginia |
| Authorized Official Name and Position | Rod Tpsistis (EMERGENCY SERVICES MANANGER) |
| Authorized Official Contact | 8045416704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D19crisis 20 W Bank St Petersburg VA 23803-3279 Ph: (804) 541-6704 | D19crisis 20 W Bank St Petersburg VA 23803-3279 Ph: (804) 541-6704 |
| NPI Number | 1235374430 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235374430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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