Organization
ANDREAS HOUSE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAUGHN PARKER JR. (OWNER)
(757) 339-8033
Entity
Organization
Contact information
Practice address
999 WATERSIDE DR STE 2520, NORFOLK, VA 23510-3300
(757) 339-8033
Mailing address
999 WATERSIDE DR STE 2520, NORFOLK, VA 23510-3300
(757) 339-8033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3336
—
VA
Enumeration date
08/05/2020
Last updated
08/05/2020
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