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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