Organization
VIRGINIA MEDICAL CRISIS AID CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND FARRARQ QMHP-A & C (PROGRAM DIRECTOR)
(804) 519-2378
Entity
Organization
Contact information
Practice address
804 WHITAKER LN, NORFOLK, VA 23510-3027
(757) 769-0587
Mailing address
2107 PRETTY LAKE AVE APT 8, NORFOLK, VA 23518-1015
(804) 519-2378
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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