Organization
GIFTED ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ONICKA JOVAN DANIEL QMHP-A (COO/PRESIDENT/CO FOUNDER)
(757) 358-3677
Entity
Organization
Contact information
Practice address
22 RESEARCH DR STE 101A, HAMPTON, VA 23666-1787
(757) 358-3677
Mailing address
22 RESEARCH DR STE 101A, HAMPTON, VA 23666-1787
(757) 358-3677
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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