Organization
COASTAL MEDICAL AND PSYCHIATRIC SERVICES, INC.
Active
Organization
COASTAL MEDICAL AND PSYCHIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ADAMS N.P. (CEO)
(757) 310-6900
Entity
Organization
Contact information
Practice address
825 DILIGENCE DR STE 206, NEWPORT NEWS, VA 23606-4272
(757) 310-6900
(757) 240-5936
Mailing address
825 DILIGENCE DR STE 206, NEWPORT NEWS, VA 23606-4272
(757) 310-6900
(757) 240-5936
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0024174260
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0024174260
VA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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