Organization
UOM, INC
Active
Other names
UOM, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STACY COWARD (ADMINISTRATOR)
(757) 399-0418
Entity
Organization
Contact information
Practice address
3615 VICTORY BLVD STE 105, PORTSMOUTH, VA 23701-3419
(757) 399-0418
(757) 337-4274
Mailing address
3615 VICTORY BLVD STE 105, PORTSMOUTH, VA 23701-3419
(757) 399-0418
(757) 337-4274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144747692
—
VA
Enumeration date
08/25/2017
Last updated
12/15/2023
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