Organization
MISSION UNITED
Active
Organization
MISSION UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIVIC POTTER (CEO)
(757) 289-7787
Entity
Organization
Contact information
Practice address
5632 OLD PROVIDENCE RD STE A, VIRGINIA BEACH, VA 23464-3967
(757) 289-7787
Mailing address
5632 OLD PROVIDENCE RD STE A, VIRGINIA BEACH, VA 23464-3967
(757) 289-7787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
12/10/2024
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