Organization
SOAR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN AHAVA PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(478) 595-3400
Entity
Organization
Contact information
Practice address
105 BARCLAY RD, NEWPORT NEWS, VA 23606-1403
(478) 595-3400
Mailing address
105 BARCLAY RD, NEWPORT NEWS, VA 23606-1403
(478) 595-3400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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