Organization
VIKING BEHAVIORAL SERVICES LLC
Active
Other names
Viking Behavioral Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG VIKING GROSS B.S.W.,PBSF (DIRECTOR OF CONSULTATION SERVICES)
(303) 875-5869
Entity
Organization
Contact information
Practice address
10168 PORTSMOUTH RD, APT #6, MANASSAS, VA 20109-8047
(303) 875-5869
Mailing address
PO BOX 3074, MANASSAS, VA 20108-0918
(303) 875-5869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15L20280
VA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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