Organization
ALLSTAR MEDICAL SERVICES
Active
Parent organization
ALLSTAR MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLSTAR MEDICAL SERVICES
Authorized official
MATTIELOU GILLIAM (CEO)
(757) 608-1397
Entity
Organization
Contact information
Practice address
2112 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 608-1397
Mailing address
2112 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 608-1397
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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