Organization
VIRGINIA BEHAVIORAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F RIEDLER M.D. (PRESIDENT)
(757) 373-0380
Entity
Organization
Contact information
Practice address
1301 FIRST COLONIAL RD, STE 200, VIRGINIA BEACH, VA 23454-2263
(757) 222-1230
(757) 222-1887
Mailing address
1301 FIRST COLONIAL RD, STE 200, VIRGINIA BEACH, VA 23454-2263
(757) 222-1230
(757) 222-1887
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
0101054894
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007117817
—
VA
01
—
260051194
RAILROAD MEDICARE
VA
Enumeration date
04/12/2013
Last updated
07/18/2013
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