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Organization

QUALITY OF LIFE COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEUENE HICKMAN III (CHIEF EXECUTIVE OFFICER)
(910) 263-1887
Entity
Organization

Contact information

Practice address
1 ENTERPRISE PKWY STE 315, HAMPTON, VA 23666-5845
(757) 998-2100
(757) 998-2101
Mailing address
1 ENTERPRISE PKWY STE 315, HAMPTON, VA 23666-5845
(757) 998-2100
(757) 998-2101

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/01/2014
Last updated
05/03/2024
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