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Organization

UHS PETERSBURG OUD LLC

Active
Other names
Foundations Health - Petersburg
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3300
Entity
Organization

Contact information

Practice address
2623 PARK AVE, PETERSBURG, VA 23805-2420
(804) 471-4711
Mailing address
2623 PARK AVE, PETERSBURG, VA 23805-2420
(804) 471-4711

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2084P0800X
Psychiatry Physician
251S00000X
Community/Behavioral Health Agency
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/12/2024
Last updated
11/22/2024
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