Organization
NJB BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA COCA PMHNP (OWNER/AUTHORIZE OFFICIAL)
(703) 598-4115
Entity
Organization
Contact information
Practice address
2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314-4587
(703) 598-4115
Mailing address
17600 BARRON HEIGHTS RD, DUMFRIES, VA 22025-2054
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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