Organization
CORE CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA AILEEN FASICK QMHP-A (PRESIDENT)
(540) 243-1965
Entity
Organization
Contact information
Practice address
20 W COURT ST, ROCKY MOUNT, VA 24151-1304
(540) 243-1965
Mailing address
20 W COURT ST, ROCKY MOUNT, VA 24151-1304
(540) 243-1965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
11/12/2020
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