Organization
VIRGINIA CALYX PROFESSIONAL SERVICES, , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE ORME WATERS LSW (CORP. DIRECTOR OF CLINICAL SERVICES)
(804) 729-9248
Entity
Organization
Contact information
Practice address
681 HIOAKS RD STE C, RICHMOND, VA 23225-4043
(804) 729-9248
Mailing address
681 HIOAKS RD STE C, RICHMOND, VA 23225-4043
(804) 729-9248
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
090300258
VA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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