Organization
COMMUNITY BEHAVIOR SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUSEGUN F OSOSANYA MA. PSYCH. (OWNER/CEO)
(757) 277-3552
Entity
Organization
Contact information
Practice address
804 ANGLIA CT, VA. BEACH, VIRGINIA BEACH, VA 23464-2381
(757) 277-3552
(757) 299-8005
Mailing address
804 ANGLIA CT, VA. BEACH, VIRGINIA BEACH, VA 23464-2381
(757) 277-3552
(757) 299-8005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1011-03-002
VA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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