Organization
THE NEW Y-CAPP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DANIELLE PAYNE (BILLING ASSISTANT)
(804) 225-9144
Entity
Organization
Contact information
Practice address
2904 WEST AVE, NEWPORT NEWS, VA 23607-3813
(757) 595-3285
(757) 595-3286
Mailing address
1500 BROOK RD, RICHMOND, VA 23220-2308
(804) 225-9144
(804) 225-9145
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010321166
—
VA
Enumeration date
06/25/2010
Last updated
06/25/2010
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