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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