Organization
ASSOCIATED BEHAVORIAL OUTCOMES AND DEVELOPMENTAL EXPERTS OF VIRGINIA
Active
Organization
ASSOCIATED BEHAVORIAL OUTCOMES AND DEVELOPMENTAL EXPERTS OF VIRGINIA
Active
Other names
VABODE, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEBASTIAN NMI SYMEONIDES QMHP (CEO/OWNER)
(804) 244-0802
Entity
Organization
Contact information
Practice address
8659 STAPLES MILL RD, RICHMOND, VA 23228
(804) 864-2273
(804) 726-2273
Mailing address
PO BOX 28289, RICHMOND, VA 23228
(804) 864-2273
(804) 726-2273
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
97703001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427105063
—
VA
Enumeration date
10/23/2009
Last updated
10/23/2009
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