| Mid-atlantic Behavioral Services , Llc | |
|
39 Bollingbrook St Petersburg VA 23803-4548 | |
| (310) 270-0968 | |
| Not Available |
| Full Name | Mid-atlantic Behavioral Services , Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39 Bollingbrook St, Petersburg, Virginia |
| Authorized Official Name and Position | Italia Talley (OWNER) |
| Authorized Official Contact | 3102700968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Behavioral Services , Llc 39 Bollingbrook St Petersburg VA 23803-4548 Ph: () - | Mid-atlantic Behavioral Services , Llc 39 Bollingbrook St Petersburg VA 23803-4548 Ph: (310) 270-0968 |
| NPI Number | 1245014836 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245014836 | NPI | - | NPPES |
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