Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Organization
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Active
Other names
UVA Health Behavioral Health Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D. CODER (CFO)
(804) 835-2069
Entity
Organization
Contact information
Practice address
8644 SUDLEY RD, SUITE 315, MANASSAS, VA 20110-4417
(703) 369-8055
(703) 369-8565
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/13/2014
Last updated
09/26/2023
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