Organization
ETARASKIEWICZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MORGAN (BUSINESS ADMINISTRATOR)
(757) 932-0485
Entity
Organization
Contact information
Practice address
5660 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2468
(757) 533-2311
Mailing address
5660 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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