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Organization
FAMILY MEDICAL PRACTITIONERS
Active
Organization
FAMILY MEDICAL PRACTITIONERS
Active
Other names
FMP Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A EUBANK M.A. DAPA (PRACTICE COORDINATOR/VP)
(757) 460-1207
Entity
Organization
Contact information
Practice address
1147 INDEPENDENCE BLVD, VIRIGNIA BEACH, VA 23455
(757) 460-1207
(757) 460-2136
Mailing address
1147 INDEPENDENCE BLVD, VIRIGNIA BEACH, VA 23455
(757) 460-1207
(757) 460-2136
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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