Organization
ALLSTAR MEDICAL SERVICES
Active
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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