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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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